Osborne, Jeffrey Shane
Osborne, Jeffrey Shane is an individual health care provider with primary practice located at 3469 N. Mayo Trail , Pikeville KY 41501. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Osborne, Jeffrey Shane can be contacted via phone (606) 437-7702.Contact Information
Primary practice address
3469 N. Mayo Trail
Pikeville KY 41501
Phone: (606) 437-7702
Fax: (606) 437-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1230-DT | Kentucky |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1230- DT | Kentucky |
Profile Details
| NPI number | 1003960634 |
|---|---|
| LBN Legal business name | Osborne, Jeffrey Shane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Mar 4th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003960634 | NPPES |
| Kentucky | MEDICAID | 1003960634 | |
| Kentucky | MEDICAID | 77012300 |
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