Christopher E. Shewan, O.D.
Individual provider Active NPI Optometrist · Lexington, OH
NPI 1073570537 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1073570537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4682/ T1457 (OH)
- Practice address
- 35 Plymouth St
Lexington, OH 44904 - Phone
- (419) 884-0500
- Fax
- (419) 884-1113
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
35 Plymouth St
Lexington, OH 44904-1123
Phone (419) 884-0500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026001245 | OH | Practitioner - Optometry | 1850679861 |
Reassigns benefits to 1 organization Practice locations: Groveport, OH; Lexington, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4682/ T1457 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Family Eye Care | Optometrist | Current |
Accepting new patients |
| Bruce E. Bachelder O.D.,LLC | Optometrist | Past |
Accepting new patients |
Locations
5335 Hendron Rd
Groveport, OH 43125
Phone (614) 828-8844
35 Plymouth St
Mansfield, OH 44904
Phone (419) 884-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4682/ T1457 | OH | Yes |
Addresses
Primary practice location
35 Plymouth St
Lexington, OH 44904
Mailing address
35 Plymouth St
Lexington, OH 44904-1123
Phone (419) 884-0500
Other providers in Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.