Individual provider Active NPI

Thomas M Shaheen, O.D.

  • Optometrist
  • Cuyahoga Falls, OH
National Provider Identifier
1073503876
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4050/T5 Issued in OH
Practice address
789 Graham Rd
Cuyahoga Falls, OH 44221-1045
Phone
(330) 923-5676
Fax
(330) 572-2450
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4050/T5 OH Primary

Addresses

Primary practice location

789 Graham Rd
Cuyahoga Falls, OH 44221-1045

Mailing address

789 Graham Rd
Cuyahoga Falls, OH 44221-1045
Phone (330) 923-5676

Other identifiers 6

IdentifierTypeStateIssuer
000000028749OtherANTHEM
410032254OtherRAILROAD MEDICARE
0232644MedicaidOH
2289653OtherAETNA
2200835OtherUNITED HEALTHCARE
55012OtherQUALCHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000614 OH Practitioner - Optometry 1355378597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants Ohio, IncGroup PAC ID 3072812676, 21 clinicians

Practice addresses (Care Compare)

789 Graham Rd
Cuyahoga Falls, OH 44221-1045
Phone (330) 923-5676

Merit-based Incentive Payment System (MIPS)

Final score
78.87 of 100Reported as group
Quality
67.77
Improvement activities
40
Cost
88.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants Ohio, Inc. Optometrist CurrentSince Oct 3, 2022 Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist Current Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist CurrentSince Oct 3, 2022 Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist Past Accepting new patients

Locations

789 Graham Rd
Cuyahoga Fls, OH 44221
Phone (330) 923-5676

2740 Navarre Ave
Oregon, OH 43616
Phone (419) 697-3616

1814 W Laskey Rd
Toledo, OH 43613

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073503876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211045",
            "telephone_number": "330-923-5676",
            "fax_number": "330-572-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211045",
            "telephone_number": "330-923-5676",
            "fax_number": "330-572-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4050/T5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000028749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410032254",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232644",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2289653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "55012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.