MEDICARE: DR. SHANNON CAMPBELL FRANKLIN 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
1	152W00000X	Optometrist	0618001030	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	6007250001	OTHER	VA	DMERC MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10015958	OTHER	VA	OPTIMA
2	446697	OTHER	VA	SOUTHERN HEALTH/COVENTRY
3	247048	OTHER	VA	BLUE CROSS, BLUE SHIELD/ANTHEM
4	0007619217	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1225006521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANNON CAMPBELL FRANKLIN O.D.

Provider Business Mailing Address
First Line	:	300 CLAREMONT LANE
Second Line	:	SUITE 102
City	:	CROZET
State	:	VA
Zip	:	22932
Country	:	US
Telephone Number	:	434-823-4441
Fax Number	:	434-823-7620

Provider Business Practice Location Address
First Line	:	300 CLAREMONT LANE
Second Line	:	SUITE 102
City	:	CROZET
State	:	VA
Zip	:	22932
Country	:	US
Telephone Number	:	434-823-4441
Fax Number	:	434-823-7620

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	04/20/2022

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Directions to “ DR. SHANNON CAMPBELL FRANKLIN O.D.” Practice Location

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