Jerry R Shields is a Ophthalmology in Puyallup, Washington. Jerry R Shields practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jerry R Shields is 1720090699. The last update date is 2011-01-20.
Jerry R Shields's current location address is 1703 S. Meridian, Puyallup, Washington. You can contact this provider via phone number 2538483000 and fax number 2538406514. The mailing address for Jerry R Shields is 1703 S. Meridian, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry R Shields |
|---|---|
| Address | 1703 S. Meridian, Puyallup, Washington |
| Phone Number | 2538483000 |
| Fax Number | 2538406514 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720090699 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2011-01-20 |
Provider Mailing Address Detail
| Address | 1703 S. Meridian |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 98371 |
| Phone Number | 2538483000 |
| Fax Number | 2538406514 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD00039681 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8280638 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry R Shields by the Centers for Medicare & Medicaid Services?
The Jerry R Shields has been issued the NPI (National Provider Identifier) 1720090699. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jerry R Shields is geographically located?
The Jerry R Shields is physically situated at the following location: 1703 S. Meridian, Puyallup, WA, 98371.
What is the Jerry R Shields's specialty and taxonomy code?
The Jerry R Shields's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720090699 to Jerry R Shields?
The Jerry R Shields received its 1720090699 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the information related to Jerry R Shields most recently updated or refreshed?
The details pertaining to the Jerry R Shields, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-20.