Dana Shari Shannon, OD | |
12812 Western Ave, Blue Island, IL 60406-2118 | |
(708) 385-0013 | |
Not Available |
Full Name | Dana Shari Shannon |
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Gender | Female |
Speciality | Optometrist |
Location | 12812 Western Ave, Blue Island, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194498550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046011530 (Illinois) | Primary |
Provider Name | The Vision Salon, Ltd. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487727046 PECOS PAC ID: 0345143855 Enrollment ID: O20040131000101 |
Provider Name | Visionworks Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831115906 PECOS PAC ID: 4385639616 Enrollment ID: O20040923001173 |
Provider Name | Clarendon Vision Development Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982982385 PECOS PAC ID: 5799951745 Enrollment ID: O20111222000349 |
Mailing Address | Practice Location Address |
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Dana Shari Shannon, OD 12812 Western Ave, Blue Island, IL 60406-2118 Ph: (773) 628-4346 | Dana Shari Shannon, OD 12812 Western Ave, Blue Island, IL 60406-2118 Ph: (708) 385-0013 |
Dr. Ansel T Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Eiman Yousif Gafour, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Meyer Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-388-1696 | |
Vision Salon Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Dr. Jill C Ingelse, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-388-1696 | |
Daniel Ahrens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 S Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 |