Doctor Name: | DR. SHANNON HAWKLEY MITCHELL |
NPI Number: | 1144551797 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 030.0068209 |
Business Practice Address: | 166 S Main St Stowe, VT - 056724679 |
Business Phone Number: | 8022536322 |
Business Fax Number: | 8022530842 |
Mailing Address: | 361 Winterbird Rd, STOWE |
State: | VT |
Postal Code: | 056724648 |
Phone Number: | 5039951830 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 030.0068209 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |