# DR. JESSE SHANE PELLETIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952440372
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 1898 | VI | — |
| 207W00000X | Ophthalmology Physician | ME99313 | FL | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 04/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 279056400 | — | FL |