Jack Shea (NPI# 1174530877, PAC ID# 5395894885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1174530877 |
| PAC ID by PECOS | 5395894885 |
| Professional Enrollment ID | I20090512000282 |
| Full Name | Jack Shea |
| Address |
2200 Harbor Blvd D130 Costa Mesa CA 92627-5871 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2200 Harbor Blvd, D130, Costa Mesa, CA 92627-5871 |
| Street Address |
2200 HARBOR BLVD D130 |
| City | COSTA MESA |
| State | CA |
| Zip | 92627-5871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gillis | Chiropractic | 2200 Harbor Blvd, B160, Costa Mesa, CA 92627-5871 | |
| Isaac N Beshay | Family Medicine | 2200 Harbor Blvd, B210, Costa Mesa, CA 92627-5890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babak Shahrestani | Chiropractic | 2328 Newport Blvd, Costa Mesa, CA 92627-1548 | |
| Khiem D Dao | Orthopedic Surgery | 2314 Newport Blvd, Costa Mesa, CA 92627-1548 | |
| Sean Kim | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Moira Docherty | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Michael K Mckindley | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Ann Ludolph | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Derek D Duong | Oral Surgery | 2263 Fairview Rd, Suite K, Costa Mesa, CA 92627-1672 | |
| Jennifer Joseph Baltazar | Physician Assistant | John F. Lalonde, D.o., Inc. | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 |
| Rachna J Lalonde | Physical Therapy | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | |
| John F Lalonde | Family Medicine | John F. Lalonde, D.o., Inc. | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 |
| Find all physicians in zip 92627 | |||
| City | COSTA MESA |
| Zip Code | 92627 |
| Specialty | OPTOMETRY |
| City + Specialty | COSTA MESA + OPTOMETRY |
Please comment or provide details below to improve the information on Jack Shea.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.