Organization Active NPI

Shafer Vision Institute

  • Ophthalmology Physician
  • Plymouth Meeting, PA
National Provider Identifier
1073201356
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian M Shafer, MDNPI 1982054433
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230827000083 PA Part B Supplier - Clinic/Group Practice 0345603130 Receives reassigned benefits from 2 practitioners
Practice locations: Plymouth Meeting, PA; Collegeville, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2315576Shafer Vision Institute633 W Germantown Pike, Ste 100, Plymouth Meeting, PA 19462Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.