Shirts, Owen M
Shirts, Owen M is an sole proprietor health care provider with primary practice located at 838 S Woodruff Ave , Idaho Falls ID 83401-5296. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Shirts, Owen M can be contacted via phone (208) 523-3937.Contact Information
Primary practice address
838 S Woodruff Ave
Idaho Falls ID 83401-5296
Phone: (208) 523-3937
Fax: (208) 523-4251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP716 | Idaho |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ODP716 | Idaho |
Profile Details
| NPI number | 1477612273 |
|---|---|
| LBN Legal business name | Shirts, Owen M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477612273 | NPPES |
| Idaho | Other | V7269 | BLUE CROSS |
| Idaho | MEDICAID | 002609700 | BLUE CROSS |
| Idaho | Other | 410041059 | BLUE CROSS |
| Idaho | Other | 000010015228 | BLUE CROSS |
| Idaho | Other | CS9984 | BLUE CROSS |
Popular Providers
-
Nave, Jerry Blair
2550 S 25Th E , Idaho Falls ID 83404 -
Smith, Golden Thane
500 S Utah Ave , Idaho Falls ID 83402-3305 -
Kohler, Nathan G
320 S Woodruff Ave , Idaho Falls ID 83401-4329 -
Adamson, Alan Paul
2300 E 17Th St Suite 1157, Idaho Falls ID 83404-6504 -
Lattimore, Gary J
501 S Woodruff Ave , Idaho Falls ID 83401-5200 -
Birch, Todd F
3351 Merlin Dr , Idaho Falls ID 83404-7405 -
Birch, Jared Edgar
1689 Pancheri Dr , Idaho Falls ID 83402-3041 -
Porter, Lisa L.
1480 E Lincoln Rd Ste B , Idaho Falls ID 83401-2128