Shannon M Burgess in Phoenixville - Optometrist
Shannon M Burgess - NPI 1457313835
Shannon M Burgess is a Optometrist in Phoenixville, Pennsylvania. Shannon M Burgess practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shannon M Burgess is 1457313835. The last update date is 2011-10-12.
Shannon M Burgess's current location address is 1260 Valley Forge Rd, Phoenixville, Pennsylvania. You can contact this provider via phone number 6109170700 and fax number 6109170708. The mailing address for Shannon M Burgess is 1260 Valley Forge Rd, Phoenixville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Burgess |
|---|---|
| Address | 1260 Valley Forge Rd, Phoenixville, Pennsylvania |
| Phone Number | 6109170700 |
| Fax Number | 6109170708 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1457313835 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2011-10-12 |
Provider Mailing Address Detail
| Address | 1260 Valley Forge Rd |
|---|---|
| City | Phoenixville |
| State | Pennsylvania (PA) |
| Post Code | 194602691 |
| Phone Number | 6109170700 |
| Fax Number | 6109170708 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OEG000127 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1321149 | PA | HIGHMARK BLUE SHIELD | |
| 410047758 | PA | RAILROAD MEDICARE | |
| 19559700001 | PA | -- | |
| 2669841 | PA | AETNA | |
| 50004981 | PA | CAPITAL BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shannon M Burgess by the Centers for Medicare & Medicaid Services?
The Shannon M Burgess has been assigned the NPI (National Provider Identifier) 1457313835 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Shannon M Burgess is physically located?
The Shannon M Burgess is situated at the following address: 1260 Valley Forge Rd, Phoenixville, PA 194602691.
What is the Shannon M Burgess's specialty and taxonomy code?
The Shannon M Burgess's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When was the Shannon M Burgess's 1457313835 issued?
The Shannon M Burgess's 1457313835 was issued on 2006-04-03.
When was the Shannon M Burgess's information last updated?
The Shannon M Burgess's information was last updated on 2011-10-12.