Dr. Shane L Wynn is a Idaho Falls, Idaho based male Optometrist with 20 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Shane L Wynn is 00P10064 for Optometry in Idaho. Dr. Shane L Wynn 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Shane L Wynn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
20+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2004
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2025 E 17th St, Idaho Falls, Idaho, 83404
Phone:
208-524-2025
Fax:
208-529-1924
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5890758502
Enrollment ID:
I20041104000301
NPI Number:
1427125491
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shane L Wynn are as mentioned below.
License Number
Specialization
State
Status
00P10064
Optometry
Idaho
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Shane L Wynn has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Idaho Eye Center Pa (1557358025)
7
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2025 E 17th St, Idaho Falls, Idaho
Zip:
83404
Phone Number:
208-524-2025
Fax Number:
208-529-1924
Patients can reach Dr. Shane L Wynn at 2025 E 17th St, Idaho Falls, Idaho or can call to book an appointment on 208-524-2025. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Dr. Kenneth William King Jr., O.D. Speciality: Corneal and Contact Management Optometrist Address: 1480 E Lincoln Rd, ID Phone: 208-525-8686 Fax: 208-525-8684