Jerry R. Shields, MD

Ophthalmology Physician · Puyallup, WA

Individual Active NPI

NPI number 1720090699

Practice location

1703 S. Meridian
Suite 101
Puyallup, WA 98371
Phone
(253) 848-3000
Fax
(253) 840-6514

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NPI record

NPI
1720090699
Entity type
Individual (Type 1)
Enumeration date
August 12, 2006
Last updated
January 20, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Ophthalmology Physician Primary 207W00000X MD00039681 WA

About Dr. Shields

Jerry R. Shields, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Ophthalmology Physician (code 207W00000X). The practice location is 1703 S. Meridian, Suite 101, Puyallup, WA 98371. The NPI number 1720090699 was assigned on August 12, 2006 and the record was last updated on January 20, 2011.

Dr. Shields lists a license in the registry: #MD00039681 (WA) for Ophthalmology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry R. Shields, MD?

The NPI number is 1720090699.

What is the phone number of Dr. Shields?

The phone number listed for the practice location is (253) 848-3000.

Where is Dr. Shields located?

1703 S. Meridian, Suite 101, Puyallup, WA 98371.

What is the taxonomy code for Dr. Shields?

The primary taxonomy code is 207W00000X – Ophthalmology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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