| Miranda Cannon Pllc | |
|
504 Barnes Blvd Bldg 504, Mcchord Main Exchange Optometry Center, Joint Base Lewis Mcchord, WA 98438-1304 | |
| (253) 588-1741 | |
| (253) 588-1731 |
| Full Name | Miranda Cannon Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 504 Barnes Blvd Bldg 504, Joint Base Lewis Mcchord, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801331541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD60160071 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Cannon Pllc 504 Barnes Blvd Bldg 504, Mcchord Main Exchange Optometry Center, Joint Base Lewis Mcchord, WA 98438-1304 Ph: (253) 588-1741 | Miranda Cannon Pllc 504 Barnes Blvd Bldg 504, Mcchord Main Exchange Optometry Center, Joint Base Lewis Mcchord, WA 98438-1304 Ph: (253) 588-1741 |
Dr. John Bowen Eastlake, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center, 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-3760 | |
Dr. William Eade Garrison, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431 Phone: 253-477-3788 | |
Dr. Steven Ross Klein, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-6068 | |
Dr. An Thai Bui, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5280 Pendleton Ave Ste C0006, Joint Base Lewis Mcchord, WA 98433 Phone: 253-964-4140 Fax: 253-964-1696 |