Shane Jensen is a Optometrist in Panguitch, Utah. Shane Jensen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shane Jensen is 1154422822. The last update date is 2008-06-16.
Shane Jensen's current location address is 415 E. Center Street, Panguitch, Utah. You can contact this provider via phone number 4356768646 and fax number 4356768646. The mailing address for Shane Jensen is 415 E. Center Street, Panguitch, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Jensen |
|---|---|
| Address | 415 E. Center Street, Panguitch, Utah |
| Phone Number | 4356768646 |
| Fax Number | 4356768646 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1154422822 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 415 E. Center Street |
|---|---|
| City | Panguitch |
| State | Utah (UT) |
| Post Code | 84759 |
| Phone Number | 4356768646 |
| Fax Number | 4356768646 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5354482-9934 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53544829900001 | UT | BLUECROSS BLUESHIELD | |
| 43753766 | UT | TRICARE | |
| D5075 | UT | -- | |
| 43753766 | UT | HUMANA | |
| 5354482-9934 | UT | PEHP | |
| 107028627101 | UT | IHC | |
| RR27009 | UT | SPECTERA | |
| 270343 | UT | ALTIUS | |
| 1595696 | UT | OPTICHOICE | |
| 813540 | UT | DMBA |
Post Comment/ Review Below
What is the Shane Jensen's unique identification number?
The Shane Jensen has been assigned the NPI (National Provider Identifier) Number 1154422822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Shane Jensen is located?
The Shane Jensen is situated at the following address: 415 E. Center Street, Panguitch, UT, 84759.
What is the area of specialization for Shane Jensen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane Jensen is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154422822 to Shane Jensen?
The Shane Jensen received its 1154422822 assignment from the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the Shane Jensen's information last updated?
The Shane Jensen's information was last updated on 2008-06-16.