Organization Active NPI

Jennifer L. Shane, O.D., LTD

  • Optometrist
  • Reno, NV
National Provider Identifier
1497982243
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JENNIFER L. SHANE, O.D., LTD
Practice address
5465 Meadowood Mall Cir Ste B
Reno, NV 89502-6570
Phone
(775) 826-4100
Fax
(775) 826-4138
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Jennifer Lynn Shane, O.D.
Title
President
Phone
(775) 826-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5465 Meadowood Mall Cir Ste B
Reno, NV 89502-6570

Mailing address

4790 Caughlin Parkway #329
Reno, NV 89519-0907
Phone (775) 826-4100

Other names 1

  • Dr. Jennifer L. Shane and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

5465 Meadowood Mall Cir
Ste B
Reno, NV 89502
Phone (775) 826-4100

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1497982243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PARKWAY #329",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-826-4100",
            "fax_number": "775-826-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 MEADOWOOD MALL CIR STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026570",
            "telephone_number": "775-826-4100",
            "fax_number": "775-826-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. SHANE, O.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-826-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jennifer L. Shane and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.