Jenna Nichole O'Shields, LDO,NCLE,ABOC
Technician/Technologist, Optician in Greer, SC. Individual provider (NPI-1).
NPI number1043940331
StatusActive
Last updated in NPPESJun 10, 2022
Details
- NPI
- 1043940331
- Entity type
- Individual (NPI-1)
- Name
- Jenna Nichole O'Shields
- Credential
- LDO,NCLE,ABOC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2022
- Certification date
- Jun 10, 2022
- Last updated
- Jun 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1102 | SC | Yes |
Practice location
14055 E Wade Hampton BlvdGreer, SC 29651-1500
Phone 864-877-5248 · Fax 864-877-3174
Mailing address
14055 E Wade Hampton BlvdGreer, SC 29651-1500
Phone 864-877-5248 · Fax 864-877-3174
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