Shannon M Macnab (NPI# 1275585119, PAC ID# 5092727776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275585119 |
| PAC ID by PECOS | 5092727776 |
| Professional Enrollment ID | I20060620000288 |
| Full Name | Shannon M Macnab |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
518 S Taylor Dr Sheboygan WI 53081-4253 |
| Phone Number | 9204580040 |
| Gender | F |
| Credential | OD |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7401 Mineral Point Rd, Madison, WI 53717-1703 | 6088336622 | SHOPKO STORES OPERATING CO LLC |
| 518 S Taylor Dr, Sheboygan, WI 53081-4253 | 9204580040 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Street Address |
518 S TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip | 53081-4253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kay K Howie | Clinical Social Worker | 4027 S Business Dr, Suite 205, Sheboygan, WI 53081-1261 | |
| Kenneth Scott Heinen | Chiropractic | 1539 N 33rd Pl B, Sheboygan, WI 53081-1839 | |
| Ashley S Perez | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Doris Uhlig Theune | Nurse Practitioner | Sheboygan Physicians Group S.c. | 3315 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison Kescenovitz | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Stacia E Schmidt | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison J Risseeuw | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Kristen M Kaiser | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Tracy L Dumke | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Shannon M Diamond | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Find all physicians in zip 53081 | |||
| City | SHEBOYGAN |
| Zip Code | 53081 |
| Specialty | OPTOMETRY |
| City + Specialty | SHEBOYGAN + OPTOMETRY |
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| 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.