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NPI Code Detail

MEDICARE: DR. SHANNON L STEINHAUSER O.D.

MEDICARE:  DR. SHANNON L STEINHAUSER  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1029AZ

General Provider Information

NPI Number : 1447255310
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON L STEINHAUSER O.D.
Provider Business Mailing Address
First Line : 3805 E BELL RD
Second Line : STE 1800
City : PHOENIX
State : AZ
Zip : 85032-2105
Country : US
Telephone Number : 602-549-2020
Fax Number : 602-325-5536
Provider Business Practice Location Address
First Line : 3805 E BELL RD
Second Line : STE 1800
City : PHOENIX
State : AZ
Zip : 85032-2105
Country : US
Telephone Number : 602-549-2020
Fax Number : 602-325-5536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 11/07/2012

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Directions to “ DR. SHANNON L STEINHAUSER O.D.” Practice Location

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