David Cannon in Traverse City - Optometrist

David Cannon - NPI 1487630133

David Cannon is a Optometrist in Traverse City, Michigan. David Cannon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for David Cannon is 1487630133. The last update date is 2011-07-29.

David Cannon's current location address is 3200 S Airport Rd W, Traverse City, Michigan. You can contact this provider via phone number 2319415440 and fax number 2319410893. The mailing address for David Cannon is 3200 S Airport Rd W, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name David Cannon
Address 3200 S Airport Rd W, Traverse City, Michigan
Phone Number 2319415440
Fax Number 2319410893
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1487630133
Provider Enumeration Date 2005-12-15
Last Updated Date 2011-07-29

Provider Mailing Address Detail

Address 3200 S Airport Rd W
City Traverse City
State Michigan (MI)
Post Code 496848117
Phone Number 2319415440
Fax Number 2319410893

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No DC00295
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3278492 MI --

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FAQs about David Cannon

What is the David Cannon's 1487630133?

The David Cannon's NPI (National Provider Identifier) Number is 1487630133. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of David Cannon?

The David Cannon is situated at 3200 S Airport Rd W, in the city of Traverse City, state of MI, with the zip code 496848117.

What is David Cannon's area of expertise and its corresponding taxonomy classification?

The David Cannon's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.

When was the David Cannon's 1487630133 issued?

The David Cannon's 1487630133 was issued on 2005-12-15.

As of what date were the details related to David Cannon most recently updated or revised?

The information pertaining to David Cannon, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-29.

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