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Contact Information

CHRISTOPHER R CANNON, OD
1125 MELLEN ST.
INNOVATION IN EYECARE INC.
CENTRALIA, WA98531
 Phone: 360-736-7385
 Fax: 360-736-8568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHRISTOPHER R CANNON · (Male)

NPI # 1811195977
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/10/2007
Last updated 03/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD60084984
Hospital affiliation(s) Not Available
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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