Individual provider · Type 1 NPI

Elijah Allan Jackson Bannister, OD

Optometrist · Longview, WA

NPI number 1558093591 Active

Practice location

820 Ocean Beach Hwy Ste 100
Longview, WA 98632-4081

Call (360) 636-2020 Map

Mailing address

PO Box 1939
Kalama, WA 98625-1700

Other practice locations

  • 500 Columbia St Ste A, Woodland, WA 98674-8491 · (360) 225-1010

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XOD61311755 (WA)

Optometrist: 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 e…

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About NPI 1558093591

Elijah Allan Jackson Bannister, OD's National Provider Identifier is 1558093591, issued on Jun 28, 2022. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Longview, WA. The record was last updated on Aug 2, 2022.