SHANNON LEE (NPI# 1104278894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104278894 |
| Entity Type | Individual |
| Full Name | SHANNON LEE |
| Credential | O.D. |
| Practice Address |
Hwy 491 North Northern Navajo Medical Center Eye Clinic Shiprock NM 87420 |
| Mailing Address |
Po Box 160 Northern Navajo Medical Center Eye Clinic Shiprock NM 87420-0160 |
| Practice Telephone | 5053687132 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT.0003238 | CO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476789 | Shannon Marie Lee | Doula | 2917 Boulder Dr, West Des Moines, IA 50265-4154 | 2015-05-12 |
| 1316286859 | Shannon L Lee | Massage Therapist | 614 E Seltice Way Ste A, Post Falls, ID 83854-6367 | 2013-02-04 |
| 1083832497 | Shannon Lee | Perfusionist | 68 Harriet St, Apt 16, San Francisco, CA 94103-4093 | 2007-04-23 |
| 1760514939 | Shannon Lee | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 106, Los Angeles, CA 90039 | 2007-03-12 |
| 1811598196 | Shannon C. Lee | Behavior Technician | 7090 Samuel Morse Dr Ste 100, Columbia, MD 21046-3444 | 2020-11-04 |
| 1083232938 | Shannon Randa Lee | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2020-07-08 |
| 1114549151 | Shannon Nicole Lee | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-05-13 |
| 1114559069 | Shannon Michelle Lee | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1710538616 | Shannon Jinho Lee | Pediatrics | 5901 Green Valley Cir Ste 130, Culver City, CA 90230-6900 | 2019-09-23 |
| 1558919449 | Shannon Eunhwa Lee | Optometrist | 3046 Knights Rd, Bensalem, PA 19020-2815 | 2019-09-03 |
| Street Address |
HWY 491 NORTH NORTHERN NAVAJO MEDICAL CENTER EYE CLINIC |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609099290 | Jennifer Michelle Manning | Occupational Therapist | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2007-04-11 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1689224073 | Margo Ilima Santiago | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2019-09-17 |
| 1225501596 | Ji Kim | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2019-01-09 |
| 1811462195 | Danielle Irene Hewey | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2018-10-12 |
| 1538642202 | Sylvia Park | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2018-09-10 |
| 1396264099 | Julia Ann Olson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2017-09-13 |
| 1407375587 | Jenna P Cope | Dietitian, Registered | Hwy 491 North, P.o. Box 160, Shiprock, NM 87420 | 2017-09-11 |
| 1013469642 | Erin Raley Wilson | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2016-10-31 |
| 1457807216 | Joseph Farar | Dietitian, Registered | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2016-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| 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 |
|---|---|---|---|---|
| 1093848335 | John D Fugate | Optometrist | Us Hwy 491north, Northern Navajo Medical Center, Shiprock, NM 87420 | 2007-03-14 |
| 1558361766 | Barbara Ann Massey | Optometrist | Highway 491 North, Shiprock, NM 87420 | 2005-07-29 |
| 1215550843 | Kaitlin A Philipsen | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2020-05-18 |
| 1124687884 | Kia Yang | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-06 |
| 1467944041 | Elysia Ison | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-05-31 |
| 1184903411 | Leslie Meyer | Optometrist | Us Highway 491 North, Shiprock, NM 87420 | 2011-08-04 |
| 1821019688 | James W Hughes | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942207 | Tina Nguyen | Optometrist | Highway Junction 371, Route 9, Crownpoint, NM 87313 | 2020-08-13 |
| 1598380545 | Nina Gabrielle Ballew | Optometrist | 4411 The 25 Way Ne Ste 325, Albuquerque, NM 87109-5853 | 2020-06-15 |
| 1477178259 | Amanda C Lallensack | Optometrist | 4101 Indian School Rd Ne Ste 225, Albuquerque, NM 87110-4072 | 2020-06-08 |
| 1336762962 | June Miki Morikawa | Optometrist | Rte 301 N 21b Ave, Zuni, NM 87327 | 2020-05-18 |
| 1063042935 | Hero Vision of West Albuquerque | Optometrist | 4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695 | 2020-01-20 |
| 1780233833 | Eye Associates of New Mexico, Ltd. | Optometrist | 1817 Wellspring Ave Se Ste A, Rio Rancho, NM 87124-4956 | 2019-09-10 |
| 1891357927 | Elizabeth Aneal Dosch | Optometrist | 1415 S Valley Dr Ste 200, Las Cruces, NM 88005-3135 | 2019-06-28 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1992282206 | Jarrett Wayne Dotson | Optometrist | 7850 Jefferson St Ne Ste 160, Albuquerque, NM 87109-4314 | 2018-07-19 |
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
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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.