Individual
SHANNON R WINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
828 WASHINGTON ST, HUNTINGDON, PA 16652-1726
(814) 643-2020
(814) 641-2020
Mailing address
828 WASHINGTON ST, HUNTINGDON, PA 16652-1726
(814) 643-2020
(814) 641-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002788
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG002788
PENNSYLVANIA STATE LICENSE
PA
Enumeration date
06/18/2013
Last updated
06/18/2013
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