Buckmaster, Shannon Marie

Buckmaster, Shannon Marie is an sole proprietor health care provider with primary practice located at 1495 S Black Ridge Dr Ste A270 , St George UT 84770-7174. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Buckmaster, Shannon Marie can be contacted via phone (503) 329-1696.

Contact Information

Primary practice address
1495 S Black Ridge Dr Ste A270 St George UT 84770-7174
Phone: (503) 329-1696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3055AT Oregon

Profile Details

NPI number 1346234275
LBN Legal business name Buckmaster, Shannon Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Sep 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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