National Provider Identifier Database

ELIJAH A BANNISTER, OD – NPI #1558093591
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

ELIJAH A BANNISTER, OD
820 OCEAN BEACH HWY STE 100
LONGVIEW, WA98632-4081
Phone: 360-636-2020
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ELIJAH A BANNISTER

NPI Number 1558093591
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/28/2022
Last updated 08/02/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • WA License #: OD61311755
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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