Individual
JARED ALLEN SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21321 E OCOTILLO RD STE 105, QUEEN CREEK, AZ 85142-5993
(480) 656-7739
(480) 656-1637
Mailing address
18722 E SEAGULL DR, QUEEN CREEK, AZ 85142-5144
(480) 319-5520
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1706
AZ
Other
Enumeration date
07/30/2009
Last updated
06/07/2020
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