Shane R Jensen

Shane R Jensen is a healthcare organization registered as Optometrist in Panguitch, UT, holding Type 2 (organization) NPI 1548459068 since 2007. The authorized official on file is Shane Jensen, Owner.

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NPI	1548459068
Entity type	Organization (Type 2)
Legal business name	Shane R Jensen
Other name	<Unavail>
Practice address	415 EAST CENTER STREET, Panguitch, UT, 84759
Phone	4356768646
Fax	4356768646
Enumeration date	2007-10-22
Last updated in NPPES	2008-06-16

Authorized official

Name	Shane Jensen
Title	Owner
Phone	4356768646

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	53544829934	UT

Other identifiers

Identifier	Type	State	Issuer
528211323001	Medicaid	UT	—

Copy-ready billing details

Provider: Shane R Jensen
NPI: 1548459068
Taxonomy: 152W00000X (Optometrist)
Address: 415 EAST CENTER STREET, Panguitch, UT, 84759

Verify this record

Cross-check NPI 1548459068 against the authoritative CMS record: view Shane R Jensen on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Shane R Jensen located?

The practice location on file with NPPES is in Panguitch, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-16.