Back to Search

SHANE BENALLY, OD

OD

Optometrist

NPI: 1588387294IndividualAccepts Medicare

Specialties, Licenses & Credentials

OptometristPrimary

Optometrist

Code: 152W00000X

ODP-100585(ID)

CMS Specialties

PrimaryOPTOMETRY

Education

SOUTHERN COLLEGE OF OPTOMETRY

Class of 2022

Contact & Hours

Address
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052

Quick Facts

NPI
1588387294
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
4

Are you this provider?

Claim Your Profile