Shader Vision

NPI #1043041486 in Lake Havasu City, Arizona

Provider Information

NPI Number: 1043041486
Entity Type: Organization
Organization Name: Shader Vision
Primary Specialty: Ophthalmology
Enumeration Date: Aug 8, 2024
Last Updated: Aug 8, 2024

Practice Location

Address: 297 LAKE HAVASU AVE S STE 204
City: Lake Havasu City
State: Arizona
ZIP Code: 86403-6526
Phone: (541) 990-0354

Authorized Official

Name: JONATHAN D SHADER, DO
Title: MEDICAL DIRECTOR
Phone: (541) 990-0354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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