Individual provider Active NPI

Christopher S Shumake, M.D.

  • Ophthalmology Physician
  • Melbourne, FL
National Provider Identifier
1073504957
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0055788 Issued in FL
Practice address
1995 W Nasa Blvd
Suite 200
Melbourne, FL 32904-2300
Phone
(321) 722-4443
Fax
(321) 722-3657
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0055788 FL Primary

Addresses

Primary practice location

1995 W Nasa Blvd
Suite 200
Melbourne, FL 32904-2300

Mailing address

1995 W Nasa Blvd
Suite 200
Melbourne, FL 32904-2300
Phone (321) 722-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018001137 FL Practitioner - Ophthalmology 2264473180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0055788FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Institute, P.a. Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients
Eyewearllc PastSince Jan 26, 1998 Accepting new patients

Locations

13397 US Highway 1
Sebastian, FL 32958
Phone (772) 569-9500

2750 Indian River Blvd
Vero Beach, FL 32960
Phone (561) 569-9500

Organizations & group practices 2

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1073504957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 W NASA BLVD",
            "address_2": "SUITE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042300",
            "telephone_number": "321-722-4443",
            "fax_number": "321-722-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 W NASA BLVD",
            "address_2": "SUITE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042300",
            "telephone_number": "321-722-4443",
            "fax_number": "321-722-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0055788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.