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

Elijah Allan Jackson Bannister, OD

Individual provider Optometrist · NPI 1558093591

Elijah Allan Jackson Bannister, OD is an Optometry in Longview, Washington. Graduated from Pacific University - College of Optometry in 2022, 4 years ago. Practices with Longview Eye and Vision, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2022
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

820 Ocean Beach Hwy Ste 100
Longview, WA 98632-4081
Phone: (360) 636-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Columbia St Ste A, Woodland, WA 98674-8491 — (360) 225-1010

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD61311755 (WA)

Record details

NPI number1558093591
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Longview Eye And Vision — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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