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DR. SHANE JENSEN O.D. NPI 1154422822


NPI Information

NPI: 1154422822
Provider Name: DR. SHANE JENSEN, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
415 E. CENTER STREET
PANGUITCH, UT
ZIP 84759
Phone: (435) 676-8646
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DR. Shane Jensen, O.D. is an optometrist in Panguitch, UT with 21 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Shane Jensen, O.D. NPI is 1154422822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:2003

The provider's business location address is:

415 E. CENTER STREET
PANGUITCH, UT
ZIP 84759
Phone: (435) 676-8646
Fax: (435) 676-8646

The NPI 1154422822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist5354482-9934UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005733801MEDICARE PINUTAH
2813540OTHERUTAHDMBA
35354482-9934OTHERUTAHPEHP
4270343OTHERUTAHALTIUS
5107028627101OTHERUTAHIHC
6RR27009OTHERUTAHSPECTERA
7043753766OTHERUTAHTRICARE
84940040001MEDICARE NSCUTAH
91595696OTHERUTAHOPTICHOICE
10D5075MEDICAIDUTAH
1153544829900001OTHERUTAHBLUECROSS BLUESHIELD
12043753766OTHERUTAHHUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.