Eagerton, Jeanna Shea

Eagerton, Jeanna Shea is an individual health care provider with primary practice located at 5505 N Atlantic Ave Ste 105 , Cocoa Beach FL 32931-5118. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Eagerton, Jeanna Shea can be contacted via phone (321) 383-1332.

Contact Information

Primary practice address
5505 N Atlantic Ave Ste 105 Cocoa Beach FL 32931-5118
Phone: (321) 383-1332
Fax: (321) 783-0065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 4078 Florida

Profile Details

NPI number 1518908607
LBN Legal business name Eagerton, Jeanna Shea
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518908607 NPPES
Florida Other 36029 BCBS FL
Florida MEDICAID 621237900 BCBS FL

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