Organization
SHANNON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DOUGLAS SHANNON ABO (OWNER)
(970) 245-2020
Entity
Organization
Contact information
Practice address
618 MAIN ST, GRAND JUNCTION, CO 81501
(970) 245-2020
Mailing address
618 MAIN ST, GRAND JUNCTION, CO 81501
(970) 245-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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