Active NPI
Shanna Dorlon
- Optician
- Branson, MO
National Provider Identifier
1619148103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0800011732
- Practice address
- 1077 Branson Hills Pkwy
Suite N
Branson, MO 65616-9940 - Phone
- (417) 336-1801
- Fax
- (417) 336-1803
- NPI assigned
- Mar 12, 2008
- Last updated
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 0800011732 | MO | Primary |
Addresses
Primary practice location
1077 Branson Hills Pkwy
Suite N
Branson, MO 65616-9940
Mailing address
1077 Branson Hills Pkwy
Suite N
Branson, MO 65616-9940
Phone (417) 336-1801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0800011732 | MO | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorlon Optical LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1619148103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 BRANSON HILLS PKWY",
"address_2": "SUITE N",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169940",
"telephone_number": "417-336-1801",
"fax_number": "417-336-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 BRANSON HILLS PKWY",
"address_2": "SUITE N",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169940",
"telephone_number": "417-336-1801",
"fax_number": "417-336-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORLON",
"first_name": "SHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MO",
"license": "0800011732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.