Shannon, Timothy W

Shannon, Timothy W is an sole proprietor health care provider with primary practice located at 1234 7Th St Suite 2, Santa Monica CA 90401-1614. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shannon, Timothy W can be contacted via phone (310) 395-5778.

Contact Information

Primary practice address
1234 7Th St Suite 2 Santa Monica CA 90401-1614
Phone: (310) 395-5778
Fax: (310) 458-9754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT6800TLG California

Profile Details

NPI number 1457314858
LBN Legal business name Shannon, Timothy W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2006
Last updated Aug 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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