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Ms. Amanda Lee Gannon, OD
Optometrist in Beverly, Massachusetts
NPI 1659946093

Amanda Lee Gannon is a Optometrist based in Vienna, MA. Amanda Lee Gannon practices in Beverly, MA and has the professional credentials of OD. The NPI Number for Amanda Lee Gannon is 1659946093 and holds a License No. (Massachusetts).

The current practice location address for Amanda Lee Gannon is 495 Cabot St Ste 1, Beverly, MA and can be reached out via phone at 978-921-5000 and via fax at 978-921-5003. You can also correspond with Amanda Lee Gannon through the mailing address at 1950 OLD GALLOWS RD STE 520, VIENNA, VA - 22182-3970 (mailing address contact number: 703-847-8899).

Location: 495 Cabot St Ste 1, Beverly, MA, 22182-3970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659946093
Provider Name
Amanda Lee Gannon
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
495 Cabot St Ste 1, Beverly, MA, 22182-3970
Phone Number
978-921-5000
Fax Number
978-921-5003
Provider Enumeration Date
05/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
495 Cabot St Ste 1
City
Beverly
State
Massachusetts
Zip
01915-2515
Phone Number
978-921-5000
Fax Number
978-921-5003
person
Provider Business Mailing Address Details
Address
1950 Old Gallows Rd Ste 520
City
Vienna
State
Virginia
Zip
22182-3970
Phone Number
703-847-8899
Fax Number
571-223-6780
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
5477 (Massachusetts)
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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