Timothy W Shannon (NPI# 1457314858, PAC ID# 1254499395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1457314858 |
| PAC ID by PECOS | 1254499395 |
| Professional Enrollment ID | I20081020000022 |
| Full Name | Timothy W Shannon |
| Address |
1234 7th St Suite 2 Santa Monica CA 90401-1614 |
| Phone Number | 3103955778 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1234 7th St, Suite 2, Santa Monica, CA 90401-1614 | 3103955778 |
| Street Address |
1234 7TH ST SUITE 2 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90401-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Kurata | Optometry | 1234 7th St, Suite 2, Santa Monica, CA 90401-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey L Drapeau D Amato | Physician Assistant | Lauren L Reager A California Medical Corporation | 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90401-0001 |
| Lisa M Masterson | Obstetrics/gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | |
| Kyle J Mccurdy | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Dana L Harris | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Sanaz Parsa | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Clifford Roberts | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Jarrad Malamed | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Igor V Hunkoff | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Janet Medenwald | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| John A Jimenez | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Find all physicians in zip 90401 | |||
| City | SANTA MONICA |
| Zip Code | 90401 |
| Specialty | OPTOMETRY |
| City + Specialty | SANTA MONICA + OPTOMETRY |
Please comment or provide details below to improve the information on Timothy W 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.