Individual
MR. SHANNON C SCHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16920 WRIGHT PLZ, SUITE 122, OMAHA, NE 68130-4660
(402) 898-3937
(402) 333-3885
Mailing address
16920 WRIGHT PLZ, SUITE 122, OMAHA, NE 68130-4660
(402) 898-3937
(402) 333-3885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1016
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025388400
—
NE
05
—
10025388500
—
NE
05
—
10025583800
—
NE
01
—
36336
BCBS
NE
01
—
410039188
RR MEDICARE
NE
01
—
903741
SHARE ADVANTAGE
NE
Enumeration date
06/06/2006
Last updated
07/19/2011
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