Shannon Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SHANNON OPTICAL

Practice address

618 Main St
Grand Junction, CO 81501

Phone

(970) 245-2020

NPI assigned

Jul 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Douglas Shannon, ABO

Title

Owner

Phone

(970) 245-2020

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1316103153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-245-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-245-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-245-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan W Seymour, DO
• Timothy R Shaffter, AD
• Carrie Shahbahrami, MSN,RXN,CNS,ACCNS-AG
• Kristen R Shakespeare, CNA
• Shannon Hoffman LLC
• Ashley M Shannon, LSW
• Stephen David Sharman
• Bethanie Sharp
• Bruce Sharp, MD
• Haley S Sharp, PA-C

• Optician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Optician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.