Shannon Boone O.D.

NPI 1174835391 - Optometrist - 152W00000X

NPI Details
NPI 1174835391
Gender Female
Enumeration Date 07/02/2010
Last Updated 05/16/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
3415 E PERSHING RD
LINCOLN NE, 68502-4836, US
Phone (402) 826-9278
Fax
Business Location
3415 E PERSHING RD
LINCOLN NE, 68502-4836, US
Phone (402) 826-9278
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 2728
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According to our database, Dr. Shannon Boone O.D. NPI is 1174835391, taxonomy code is 152W00000X and license number is 2728, license state is located at Colorado. Shannon Boone O.D. physically located at 3415 E Pershing Rd, Lincoln NE, 68502-4836. NPI Number Shannon Boone O.D. has the Individual type.

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1174835391 NPI number is provided on an as is basis without warranty of any kind. 1174835391 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Boone O.D. are for informational purposes only.