Healthcare Provider Details

I. General information

NPI: 1831194653
Provider Name (Legal Business Name): SHANNON C. TOOMEY-BELANGER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. SHANNON C. TOOMEY

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 VESTAL PKWY E
VESTAL NY
13850-2147
US

IV. Provider business mailing address

11 SPENCER DR
ONEONTA NY
13820-1124
US

V. Phone/Fax

Practice location:
  • Phone: 607-722-2020
  • Fax: 607-722-3937
Mailing address:
  • Phone: 225-654-0603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV008871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: