Provider Demographics
NPI:1306228747
Name:SHANNON EYE CARE PLLC
Entity Type:Organization
Organization Name:SHANNON EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:ZINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-599-1800
Mailing Address - Street 1:407 CHURCH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4621
Mailing Address - Country:US
Mailing Address - Phone:615-599-1800
Mailing Address - Fax:
Practice Address - Street 1:407 CHURCH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4621
Practice Address - Country:US
Practice Address - Phone:615-599-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty