| NPI | 1003960634 |
|---|---|
| Professional Name | J. SHANE OSBORNE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1230-DT) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: KY 1230- DT) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-03-04 |