National Provider Identifier Database

SHANE BENALLY, OD – NPI #1588387294
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

SHANE BENALLY, OD
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM87052-1283
Phone: 505-465-1169
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SHANE BENALLY

NPI Number 1588387294
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/19/2022
Last updated 07/22/2025 - About 11 months ago
Sole proprietor1 No
Identifiers
  • ID License #: ODP-100585
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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