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Individual

DR. SHANE ONIEL DURRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
14230 NE 20TH ST, SUITE C, BELLEVUE, WA 98007-3745
(425) 748-1000
Mailing address
14230 NE 20TH ST, SUITE C, BELLEVUE, WA 98007-3745
(614) 493-6440

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60189678
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43211301
PTAN / COLERAIN
OH
01
43211302
PTAN / GLENWAY
OH
01
43211303
PTAN / KENWOOD
OH
01
43211304
PTAN / HAMILTON
OH
01
43211305
PTAN / BEECHMONT
OH
01
43211306
PTAN / TRI COUNTY
OH
01
43211307
PTAN / SYMMES
OH
01
43211308
PTAN / LIBERTY
OH
01
P400042110
PTAN / KENTUCKY
KY
Enumeration date
08/17/2010
Last updated
12/02/2015
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