Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE LUCAS TIBILETTI, OD

Active

DR. SHANE LUCAS TIBILETTI, OD is a Optometrist healthcare provider located in HURST, Texas. NPI 1639721392 is currently active in the NPPES registry. Verify at CMS.

Optometrist · HURST, TX

Registration Details

NPI Number: 1639721392
Provider Type: Individual
Gender: Male
NPI Issued: Jul 12, 2019 (6.9064004262946 yrs)
Last Updated: Jul 13, 2019
License: 9738T (TX)

Practice Information

Address: 1101 MELBOURNE RD # 217

HURST, TX, 760536205
Browse TX providers · Browse ZIP 76053
Phone: 8172840798
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in HURST, TX

Name	Credential	NPI
DR. E. BEAN	—	1265432249
MR. ELVIN W FENTON	OD	1215920442
MICHAEL L KANE	O.D.	1942276654
DR. MICHELLE LYNN MARTINEZ	O.D.	1437185386
DR. BLAKE JAMAR HUGHES	O.D.	1750300547
DR. CRAIG C HUGHES	OD	1902912819

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.