Individual
MR. CHRISTOPHER R CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1125 MELLEN ST., INNOVATION IN EYECARE INC., CENTRALLA, WA 98531
(360) 736-7385
(360) 736-8568
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60084984
WA
Other
Enumeration date
07/10/2007
Last updated
03/31/2021
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