Male or Other

W. C. Shaffer O.D.

Optometrist in Plainfield, IN(View on Map)

Full Name

W. Cory Shaffer O.D.

NPI Number

1154335271

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/27/2006

Specialties

(Taxonomies)

Licenses

State

Indiana

License Number

18001624A

Contact
Information

Purpose

Mailing
Location

Address

5290 BRECCIA DR
1855 STAFFORD RD

City

Plainfield
Plainfield

State

IN
IN

Postal Code

46168-9194
46168-2338

Country

US
US

Telephone Number

(317) 839-0280
(317) 839-2368

Identifiers

Identifier

000000083758
11480263

Identifier State

IN
IN

Identifier Issuer

ANTHEM
CAQH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/04/2011

Provider Address

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