Organization
J S OSBORNE OD PSC
Active
Other names
J Shane Osborne OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. SHANE OSBORNE OD (PRESIDENT)
(606) 437-7702
Entity
Organization
Contact information
Practice address
3469 N MAYO TRL, PIKEVILLE, KY 41501-3265
(606) 437-7702
(606) 437-2307
Mailing address
3469 N MAYO TRL, PIKEVILLE, KY 41501-3265
(606) 437-7702
(606) 437-2307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1230-DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012300
—
KY
Enumeration date
02/19/2008
Last updated
02/19/2008
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