Active NPI
Shafer Vision Institute
- Ophthalmology Physician
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SHAFER VISION INSTITUTE
- Practice address
- 633 W Germantown Pike Ste 100
Plymouth Meeting, PA 19462-1032 - Phone
- (215) 654-2020
- Fax
- (215) 278-4048
- NPI assigned
- Apr 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian M Shafer, MD
- Title
- Ceo
- Phone
- (267) 210-2169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
633 W Germantown Pike Ste 100
Plymouth Meeting, PA 19462-1032
Mailing address
633 W Germantown Pike Ste 100
Plymouth Meeting, PA 19462-1032
Phone (215) 654-2020
Other names 1
- Shafer Vision Institute, Incorporated
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2315576 | Shafer Vision Institute | Certificate of waiver | Dec 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
10 Presidential Blvd
Ste 102
Bala Cynwyd, PA 19004
Phone (610) 660-6100
222 E Main St
#114
Collegeville, PA 19426
Phone (215) 654-2020
633 W Germantown Pike
Ste 100
Plymouth Mtng, PA 19462
Phone (215) 654-2020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cornea and External Diseases Specialist Physician
- Plymouth Meeting, PA
- NPI 1982054433
-
- Optometrist
- Plymouth Meeting, PA
- NPI 1780114603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1073201356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W GERMANTOWN PIKE STE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621032",
"telephone_number": "215-654-2020",
"fax_number": "215-278-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W GERMANTOWN PIKE STE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621032",
"telephone_number": "215-654-2020",
"fax_number": "215-278-4048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAFER VISION INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-25",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "SHAFER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-210-2169",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shafer Vision Institute, Incorporated",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Shafer Vision Institute, Incorporated",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.