J S Osborne OD PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1230-DT Issued in KY

Legal business name

J S OSBORNE OD PSC

Doing business as

J Shane Osborne OD

Practice address

3469 N Mayo TRL
Pikeville, KY 41501-3265

Phone

(606) 437-7702

Fax

(606) 437-2307

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. J. Shane Osborne, OD

Title

President

Phone

(606) 437-7702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• J Shane Osborne OD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1285802645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 N MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013265",
            "telephone_number": "606-437-7702",
            "fax_number": "606-437-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 N MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013265",
            "telephone_number": "606-437-7702",
            "fax_number": "606-437-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S OSBORNE OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "J. SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-437-7702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1230-DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J Shane Osborne OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Irfan, M.D
• Crystal Isaac, CADC
• Thomas Keith Ison, D.O.
• William Albert Ison, FNP
• J & J Diagnostics
• J. Kendall Cecil (East Kentucky Eyecare)
• Johnnie Mac Jackson, MSW, CSW
• Mark Jackson, P.A.
• Gabriel Jacobs, M.D.
• Brett E Jarrell, MD

• Optometrist in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.