Richard Edgar Sheaffer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001244 Issued in PA

Practice address

326 N Broad St
Selinsgrove, PA 17870-1512

Phone

(570) 374-8136

Fax

(570) 374-0462

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1154319770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N BROAD ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701512",
            "telephone_number": "570-374-8136",
            "fax_number": "570-374-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N BROAD ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701512",
            "telephone_number": "570-374-8136",
            "fax_number": "570-374-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFFER",
        "first_name": "RICHARD",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "U08035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02549200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005818660002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selinsgrove Dental Arts
• Semian Surgical Associates LLC
• Pedro O. Servano III, M.D.
• Jenedieth Anayanci Severyn, CPHT
• Ashley Nicole Shaffer, HHP
• Taylor Renee Showers, CRNP, DNP
• Alexander Sliwecki
• John Sloyer, M.A.
• Tonya Snyder
• Maria I Spencer

• Optometrist in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.