Shannon Avena, OD | |
5111 N Main St Ste 200, Mishawaka, IN 46545-9047 | |
(574) 277-8121 | |
(574) 271-4699 |
Full Name | Shannon Avena |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 9 Years |
Location | 5111 N Main St Ste 200, Mishawaka, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912459983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004001A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Indiana Llc | 5496091316 | 71 |
Provider Name | Myeyedr Optometry Of Indiana Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083100424 PECOS PAC ID: 5496091316 Enrollment ID: O20190115001215 |
Mailing Address | Practice Location Address |
---|---|
Shannon Avena, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Shannon Avena, OD 5111 N Main St Ste 200, Mishawaka, IN 46545-9047 Ph: (574) 277-8121 |
Stephanie Marie Baxter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Jini Varughese John, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Dr. Jonathan Edward Kintner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincoln Way E, Mishawaka, IN 46544 Phone: 574-255-3188 Fax: 574-255-4182 | |
Dr. Jayson Paul Ferd Burden, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-1231 | |
Dr. Jeffrey A. Coppes, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6502 Grape Road, Suite 898, Mishawaka, IN 46545 Phone: 574-277-7723 Fax: 574-277-9698 | |
Shannan Elizabeth Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Dr. Andrew R Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 |