Jennifer L. Shane, O.D., Ltd

Optometrist in Reno, NV. Organization (NPI-2).

NPI number1497982243

StatusActive

Last updated in NPPESJan 16, 2014

Details

NPI: 1497982243
Entity type: Organization (NPI-2)
Legal business name: Jennifer L. Shane, O.D., Ltd
Organization subpart: No
Enumeration date: Jun 19, 2009
Last updated: Jan 16, 2014

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Other names

Dr. Jennifer L. Shane And Associates (Doing Business As)

Practice location

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

Phone 775-826-4100 · Fax 775-826-4138

Mailing address

4790 Caughlin Parkway #329
Reno, NV 89519-0907

Phone 775-826-4100 · Fax 775-826-4138

Authorized official

Jennifer Lynn Shane
President
7758264100

Is something wrong?

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Other Optometrist providers in Reno, NV

All 151 Optometrist providers in Reno · All 14,251 providers in Reno

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