Active NPI
Mark Fitzgerald Shear, B.S., O.D.
- Optometrist
- Richardson, TX
National Provider Identifier
1134102783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4341TG
- Practice address
- 404 Hanbee St
Richardson, TX 75080-4508 - Phone
- (214) 213-7997
- NPI assigned
- Nov 28, 2005
- Last updated
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4341TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 4341TG | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2118 | OK | |
| Pediatric Optometrist | 152WP0200X | 4341TG | TX | |
| Sports Vision Optometrist | 152WS0006X | 4341TG | TX | |
| Occupational Vision Optometrist | 152WX0102X | 4341TG | TX |
Addresses
Primary practice location
404 Hanbee St
Richardson, TX 75080-4508
Mailing address
404 Hanbee St
Richardson, TX 75080-4508
Phone (214) 213-7997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4341TG | TX | MD | Occupational Vision Optometrist |
| 2118 | OK | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1134102783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HANBEE ST",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804508",
"telephone_number": "214-213-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HANBEE ST",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804508",
"telephone_number": "214-213-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAR",
"first_name": "MARK",
"middle_name": "FITZGERALD",
"name_prefix": "Dr.",
"credential": "B.S., O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4341TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "4341TG",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OK",
"license": "2118",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "4341TG",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "4341TG",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "TX",
"license": "4341TG",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.