Provider Demographics
NPI:1578454666
Name:O'SHEA, ALISHA (OD)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 THE KNLS
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1930
Mailing Address - Country:US
Mailing Address - Phone:402-309-0566
Mailing Address - Fax:
Practice Address - Street 1:2301 10TH AVE
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-4214
Practice Address - Country:US
Practice Address - Phone:913-682-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2250152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist