Active NPI
Jennifer L. Shane, O.D., LTD
- Optometrist
- Reno, NV
National Provider Identifier
1497982243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.