Individual
DR. SHANNON HAWKLEY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5274 MAIN ST STE 1, WAITSFIELD, VT 05673-4445
(802) 448-6988
(802) 496-9500
Mailing address
5274 MAIN ST STE 1, WAITSFIELD, VT 05673-4445
(802) 448-6988
(802) 496-9500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0068209
VT
152WC0802X
Corneal and Contact Management Optometrist
030.0068209
VT
Other
Enumeration date
01/21/2010
Last updated
10/18/2018
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