Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE JENSEN, O.D.
Active Sole ProprietorDR. SHANE JENSEN, O.D. is a Optometrist healthcare provider located in PANGUITCH, Utah. NPI 1154422822 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PANGUITCH, UT
Registration Details
- NPI Number
- 1154422822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.698446693356 yrs)
- Last Updated
- Jun 16, 2008
- License
-
5354482-9934 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 E. CENTER STREETPANGUITCH, UT, 84759Browse UT providers · Browse ZIP 84759
- Phone
- 4356768646
- Fax
- 4356768646
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.