Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward Hogan Shannon Jr., OD

Individual provider Optometrist · NPI 1225171739

Dr. Edward Hogan Shannon Jr., OD is an Optometry in Gainesville, Georgia. Graduated from Southern College of Optometry in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
49
Trained at
Southern College of Optometry
Licensed in
GA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

422 Green Street Pl
Gainesville, GA 30501-3318
Phone: (770) 535-1467
Fax: (770) 535-0763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT000834 (GA)

Record details

NPI number1225171739
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJune 25, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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