Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN SHADER, DO
Active Sole ProprietorJONATHAN SHADER, DO is a Ophthalmology healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1689038986 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1689038986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2016 (10.385644129032 yrs)
- Last Updated
- Sep 18, 2024
- Licenses
-
10760 (GA)010033 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
297 LAKE HAVASU AVE S STE 204LAKE HAVASU CITY, AZ, 864036526Browse AZ providers · Browse ZIP 86403
- Phone
- 9284902121
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in LAKE HAVASU CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| MICHAEL JAMES STAGNER | MD | 1720069982 |
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.