Kelly Shannon (NPI# 1760937510, PAC ID# 3375830425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760937510 |
| PAC ID by PECOS | 3375830425 |
| Professional Enrollment ID | I20160919000012 |
| Full Name | Kelly Shannon |
| Organization Legal Name | ALL FAMILY VISION LLC |
| Address |
1810 Summer St Ne Salem Vision Clinic Salem OR 97301-7147 |
| Phone Number | 5033640767 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5890955413 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1597 Sw 53rd St, All Family Vision Care, Corvallis, OR 97333-2630 | 5417578844 | ALL FAMILY VISION LLC |
| 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 | 5033640767 | ALL FAMILY VISION LLC |
| Organization Legal Name | ALL FAMILY VISION LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Klautzsch Sr. | Optometry | All Family Vision LLC | 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 |
| Justin T Heintz | Optometry | All Family Vision LLC | 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 |
| Jeanine M Duong | Optometry | All Family Vision LLC | 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 |
| Street Address |
1810 SUMMER ST NE SALEM VISION CLINIC |
| City | SALEM |
| State | OR |
| Zip | 97301-7147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Klautzsch Sr. | Optometry | All Family Vision LLC | 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 |
| Justin T Heintz | Optometry | All Family Vision LLC | 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 |
| Jeanine M Duong | Optometry | All Family Vision LLC | 1810 Summer St Ne, Salem Vision Clinic, Salem, OR 97301-7147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Hannig | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Cheryl A Lugenbill | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Steven E Besing | Psychologist, Clinical | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Jaya N. Martin | Certified Nurse Midwife | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Avelino O Leal | Preventative Medicine | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Ashit G Patel | Cardiac Electrophysiology | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Arjun K Chagarlamudi | Cardiovascular Disease (cardiology) | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Sarah Frances Robbins | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Ryan William Huffman | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Sabine G Hyatt | Psychologist, Clinical | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Find all physicians in zip 97301 | |||
| City | SALEM |
| Zip Code | 97301 |
| Specialty | OPTOMETRY |
| City + Specialty | SALEM + OPTOMETRY |
Please comment or provide details below to improve the information on Kelly Shannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.