Individual
DR. SHANNON ELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8013 N 164TH ST, BENNINGTON, NE 68007-5569
(402) 203-8885
Mailing address
3157 FARNAM ST, STE 7103, OMAHA, NE 68131-3569
(402) 502-7323
(402) 502-7776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1201
NE
Other
Enumeration date
01/22/2007
Last updated
05/23/2016
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