Organization
JEFFREY T SHAVER PC
Active
Organization
JEFFREY T SHAVER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY L. SHAVER RN. (ADMINISTRATOR)
(405) 834-0532
Entity
Organization
Contact information
Practice address
3840 S BOULEVARD, SUITE 101, EDMOND, OK 73013-5478
(405) 471-5252
(405) 726-8530
Mailing address
3431 S BOULEVARD ST, SUITE 106, EDMOND, OK 73013-5475
(405) 562-2036
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20009910A
—
OK
01
—
DF7884
MEDICARE RAILROAD
OK
Enumeration date
11/17/2006
Last updated
11/28/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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