SearchWashingtonOptometrist

Elijah Bannister, OD

NPI 1558093591 · on the registry since 2022

Practice

Address
820 Ocean Beach Hwy Ste 100
Longview, WA 98632
Phone
(360) 636-2020
Organisation at this address
Mountain Smiles, Pllc
Longview Eye & Vision
Smiles Dental Group, Pc
Jeromy R. Dixson, D.M.D., P.S.
Johnson, Dixson & Pond Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 500 Columbia St Ste A, Woodland, WA

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington