Cummings, Shannon Elizabeth
Cummings, Shannon Elizabeth is an individual health care provider with primary practice located at 4801 S Cliff Ave Ste 100 , Independence MO 64055-6954. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Cummings, Shannon Elizabeth can be contacted via phone (816) 478-1230.Contact Information
Primary practice address
4801 S Cliff Ave Ste 100
Independence MO 64055-6954
Phone: (816) 478-1230
Fax: (816) 350-4585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2105 | Kansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2019026756 | Missouri |
Profile Details
| NPI number | 1376003673 |
|---|---|
| LBN Legal business name | Cummings, Shannon Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Mar 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376003673 | NPPES |
| Other | Q00037687 | PALMETTO GBA RAILROAD MEDICARE |
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