National Provider Identifier Database

OWEN M SHIRTS, OD – NPI #1477612273
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

OWEN M SHIRTS, OD
838 S WOODRUFF AVE
IDAHO FALLS, ID83401-5296
Phone: 208-523-3937
Fax: 208-523-4251
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for OWEN M SHIRTS

NPI Number 1477612273
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/07/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: ODP716
  • ID Medicaid: 002609700
  • ID Other: V7269 BLUE CROSS
  • ID Other: 000010015228 BLUE SHIELD
  • ID Other: CS9984 CONTROLLED SUBSTANCE
  • ID Other: 410041059 MEDICARE RAILROAD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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