Individual
DR. CORNELIUS J SHANEYFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12 N JEFFERSON ST, KNIGHTSTOWN, IN 46148-1243
(765) 345-5405
(765) 345-5405
Mailing address
PO BOX 25, KNIGHTSTOWN, IN 46148-0025
(765) 345-5405
(765) 345-5405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001864B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183230A
—
IN
Enumeration date
01/23/2007
Last updated
11/11/2008
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