Individual provider · NPI-1

Shannon Knapp, NCLEC, ABOC, LDO

Technician/Technologist, Optician · Destin, FL

NPI number1912897935
StatusActive
Last updated in NPPESJul 9, 2025

Details

NPI
1912897935
Entity type
Individual (NPI-1)
Name
Ms. Shannon Knapp
Credential
NCLEC, ABOC, LDO
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2025
Certification date
Jul 9, 2025
Last updated
Jul 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO8228FLYes

Practice location

15017 Emerald Coast Pkwy
Destin, FL 32541-3358

Phone 850-650-0353

Mailing address

611 Kendrick Ln
Niceville, FL 32578-2501

Phone 618-974-7979

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