NPIMap

Organization Active NPI

Dr. Steven a Shadwick and Assoc. Inc.

  • Optometrist
  • Middletown, OH
National Provider Identifier
1144302381
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3753 T645 Issued in OH
Legal business name
DR. STEVEN A SHADWICK AND ASSOC. INC.
Practice address
1053 Summitt Dr
Middletown, OH 45042-3464
Phone
(513) 422-8031
Fax
(513) 422-8624
NPI assigned
Oct 19, 2006
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. Steven Alexander Shadwick, O.D.NPI 1932281144
Title
Owner/President
Phone
(513) 422-8031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3753 T645 OH Primary

Addresses

Primary practice location

1053 Summitt Dr
Middletown, OH 45042-3464

Mailing address

1053 Summitt Dr
Middletown, OH 45042-3464
Phone (513) 422-8031

Other identifiers 1

IdentifierTypeStateIssuer
0581562MedicaidOH

National Provider Directory

National Provider Directory

Locations

1053 Summit Dr
Middletown, OH 45042
Phone (513) 422-8031

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1144302381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-422-8031",
            "fax_number": "513-422-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-422-8031",
            "fax_number": "513-422-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEVEN A SHADWICK AND ASSOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "SHADWICK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "513-422-8031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3753 T645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0581562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.