Individual provider Active NPI

Jeffrey T Shaver, M.D.

  • Ophthalmology Physician
  • Edmond, OK
National Provider Identifier
1073582409
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16961 Issued in OK
Practice address
3840 South Boulevard
Suite 101
Edmond, OK 73013-5478
Phone
(405) 471-5252
Fax
(405) 726-8530
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 16961 OK Primary

Addresses

Primary practice location

3840 South Boulevard
Suite 101
Edmond, OK 73013-5478

Mailing address

3840 South Boulevard
Suite 101
Edmond, OK 73013-5478
Phone (405) 471-5252

Other identifiers 2

IdentifierTypeStateIssuer
100124540AMedicaidOK
P00392904OtherOKMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070309000035 OK Practitioner - Ophthalmology 7618070863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Oklahoma PLLCGroup PAC ID 3173522596, 14 clinicians

Practice addresses (Care Compare)

3840 S Boulevard
101 Jeffrey Shaver MD
Edmond, OK 73013-5888
Phone (405) 471-5252

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
96.81
Improvement activities
40
Cost
54.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery258

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Oklahoma PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Precision Vision Care, LLC. PastSince Jan 22, 2012 Accepting new patients
Eye Care Services Ophthalmology Past Accepting new patients
Dean McGee Eye Institute Ophthalmology Past Accepting new patients
Eye Associates of Oklahoma PLLC Ophthalmology PastSince Nov 6, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3840 S Boulevard
Ste 101
Edmond, OK 73013
Phone (405) 471-5252

3840 S Boulevard
Ste 103
Edmond, OK 73013
Phone (405) 455-3937

3840 S Boulevard
Edmond, OK 73013
Phone (405) 232-8696

2909 S Telephone Rd
Moore, OK 73160
Phone (405) 733-4545

1455 S Douglas Blvd
Ste D
Oklahoma City, OK 73130
Phone (405) 733-4545

10801 S Western Ave
Ste 200
Oklahoma City, OK 73170
Phone (405) 703-8404

4420 N Kickapoo Ave
Ste 600
Shawnee, OK 74804
Phone (405) 275-2900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jshaver@okc.emadirect.md

Organizations & group practices 6

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1073582409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 SOUTH BOULEVARD",
            "address_2": "SUITE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135478",
            "telephone_number": "405-471-5252",
            "fax_number": "405-726-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 SOUTH BOULEVARD",
            "address_2": "SUITE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135478",
            "telephone_number": "405-471-5252",
            "fax_number": "405-726-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "16961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124540A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00392904",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.