NPI 1063148104

Jeanine Shakelford, LDO

Practitioner Optician Nicholasville, KY

Practice location

Address: 1024 N Main St, Nicholasville, KY 40356-2311
Phone: (859) 885-2314
Mailing address: 608 Hugging Bear Dr, Lexington, KY 40509-4390

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 109935 (KY)

Other Technician/Technologist providers in Kentucky →

Registry record

NPI: 1063148104
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2022
Record last updated: 30 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.