Organization
MIRANDA CANNON PLLC
Active
Other names
McChord Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRANDA M CANNON O.D. (OWNER)
(206) 714-8606
Entity
Organization
Contact information
Practice address
504 BARNES BLVD BLDG 504, MCCHORD MAIN EXCHANGE OPTOMETRY CENTER, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 588-1741
(253) 588-1731
Mailing address
504 BARNES BLVD BLDG 504, MCCHORD MAIN EXCHANGE OPTOMETRY CENTER, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 588-1741
(253) 588-1731
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60160071
WA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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