Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shana Widick Rose, MD

Individual provider Ophthalmology Physician · NPI 1508020645

Shana Widick Rose, MD is an Ophthalmology in Fenton, Missouri. Qualified in 2011, 15 years ago. Practices with Envision Eye Specialists PC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1011 Bowles Ave Ste 415
Fenton, MO 63026-2395
Phone: (636) 717-1700
Fax: (636) 203-4727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 2011014018 (MO)

Record details

NPI number1508020645
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2008
Last updated in NPPESJanuary 23, 2015
Mailing address1011 Bowles Ave, Suite 200, Fenton, MO 63026-2395

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Envision Eye Specialists Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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