Provider Demographics
NPI:1821795659
Name:SHANER, FRANCES DANIELLE
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:DANIELLE
Last Name:SHANER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MASSILLON MRKTPLC DR SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-2018
Mailing Address - Country:US
Mailing Address - Phone:330-834-1364
Mailing Address - Fax:330-834-1504
Practice Address - Street 1:1 MASSILLON MRKTPLC DR SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2018
Practice Address - Country:US
Practice Address - Phone:330-834-1364
Practice Address - Fax:330-834-1504
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.14077SC156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician