SHANNAN ELIZABETH BROWN (NPI# 1104023290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104023290 |
| Entity Type | Individual |
| Full Name | SHANNAN ELIZABETH BROWN |
| Other Name | SHANNAN ELIZABETH SZUBA |
| Credential | OD |
| Practice Address |
230 E Day Rd Ste 100 Mishawaka IN 46545-3408 |
| Practice Telephone | 5742713939 |
| Practice Fax Number | 5742713941 |
| Mailing Telephone | 5742713939 |
| Mailing Fax Number | 5742713941 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003466A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 18003466A | 01 |
| IN | RR MEDICARE | P00991570 | 01 |
| IN | 200864240 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366581084 | Shannan Davis Brown | Specialist | 1232 S Morrison Blvd, Hammond, LA 70403-5702 | 2007-02-06 |
| Street Address |
230 E DAY RD STE 100 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952415689 | Joshua S Conner | Optometrist | 230 E Day Rd Ste 100, Mishawaka, IN 46545-3408 | 2006-08-19 |
| 1366854051 | Laura Anne Cavadini | Ophthalmology | 230 E Day Rd Ste 100, Mishawaka, IN 46545 | 2014-05-29 |
| 1760797120 | David Phillip Sonnenburg | Optometrist | 230 E Day Rd Ste 100, Mishawaka, IN 46545-3408 | 2010-08-10 |
| 1316146798 | Timothy H. Blankenbeker | Optometrist | 230 E Day Rd Ste 100, Mishawaka, IN 46545-3408 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635770 | Myeyedr Optometry of Indiana, LLC | Optometrist | 5111 N Main St # 200, Mishawaka, IN 46545-9039 | 2018-07-09 |
| 1912459983 | Shannon Avena | Optometrist | 5111 N Main St Ste 200, Mishawaka, IN 46545-9047 | 2016-10-26 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1134485360 | Eyecare Indiana Ll, PC | Optometrist | 5325 N. Grape Rd, Mishawaka, IN 46545-1344 | 2012-04-02 |
| 1609951581 | Debra Jacobs Garcia | Optometrist | 6501 N Grape Rd, Suite 178, Mishawaka, IN 46545 | 2006-10-26 |
| 1609959907 | Drs Kintner & Shearer | Optometrist | 517 Lincoln Way E, Mishawaka, IN 46544-2211 | 2006-10-23 |
| 1952415689 | Joshua S Conner | Optometrist | 230 E Day Rd Ste 100, Mishawaka, IN 46545-3408 | 2006-08-19 |
| 1912920828 | Ossip Optometry, P.c | Optometrist | 5327 Grape Rd, Mishawaka, IN 46545-1344 | 2006-07-25 |
| 1477579316 | Kristina Ruth Jordan | Optometrist | 5323 N Main St., Mishawaka, IN 46545 | 2006-07-14 |
| 1548296718 | Patrick Albert | Optometrist | 5325 Grape Rd, Mishawaka, IN 46545-1344 | 2006-06-23 |
| Find all providers in MISHAWAKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.