Optometrist
ELIJAH BANNISTER OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1558093591 · enumerated 2022-06-28 · record updated 2022-08-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 1939, KALAMA, WA, 98625-1700 (360) 560-5322 Google Maps Apple Maps OpenStreetMap
- Practice location 820 OCEAN BEACH HWY STE 100, LONGVIEW, WA, 98632-4081 (360) 636-2020 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License OD61311755 WA
In this directory
Locations and evidence
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Practice location
LONGVIEW, WA, 986324081
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.