Shane R Jensen is a Optometrist in Panguitch, Utah. Shane R Jensen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shane R Jensen is 1548459068. The last update date is 2008-06-16.
Shane R Jensen's current location address is 415 East Center Street, Panguitch, Utah. You can contact this provider via phone number 4356768646 and fax number 4356768646. The mailing address for Shane R Jensen is 415 East Center Street, Panguitch, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shane R Jensen |
|---|---|
| Address | 415 East Center Street, Panguitch, Utah |
| Phone Number | 4356768646 |
| Fax Number | 4356768646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jensen Shane |
| Credentials | O.D. |
| Telephone Number | 4356768646 |
NPI Number Detail
| NPI Number | 1548459068 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 415 East 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 | 53544829934 |
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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 |
|---|---|---|---|
| 528211323001 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shane R Jensen by the Centers for Medicare & Medicaid Services?
The Shane R Jensen has been assigned the NPI (National Provider Identifier) 1548459068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Shane R Jensen's physical address?
The Shane R Jensen is physically located at 415 East Center Street, in the city of Panguitch, UT, with the postal code 84759.
What is the area of specialization for Shane R Jensen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane R Jensen is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did Shane R Jensen receive its 1548459068 assignment?
The Shane R Jensen was assigned its 1548459068 on 2007-10-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shane R Jensen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shane R Jensen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-16.