Healthcare Provider Details

I. General information

NPI: 1164595336
Provider Name (Legal Business Name): CROZET EYE CARE, SHANNON FRANKLIN, OD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 04/20/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CLAREMONT LANE SUITE 102
CROZET VA
22932
US

IV. Provider business mailing address

300 CLAREMONT LANE SUITE 102
CROZET VA
22932
US

V. Phone/Fax

Practice location:
  • Phone: 434-823-4441
  • Fax: 434-823-7620
Mailing address:
  • Phone: 434-823-4441
  • Fax: 434-823-7620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618001030
License Number StateVA

VIII. Authorized Official

Name: DR. SHANNON CAMPBELL FRANKLIN
Title or Position: OWNER
Credential: OD
Phone: 434-823-4441