Active NPI
Adam T Shupe, O.D.
- Optometrist
- Salem, OR
National Provider Identifier
1154567790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ATI4341
- Practice address
- 655 Medical Center Dr NE
Salem, OR 97301-2751 - Phone
- (503) 581-5287
- Fax
- (503) 386-1377
- NPI assigned
- Jan 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI4341 | OR | Primary |
Addresses
Primary practice location
655 Medical Center Dr NE
Salem, OR 97301-2751
Mailing address
655 Medical Center Dr NE
Salem, OR 97301-2751
Phone (503) 581-5287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 Medical Ctr Dr NE
Salem, OR 97301-2751
Phone (503) 581-5287
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI4341 | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Eye Clinic LLC | Optometrist | Current | Accepting new patients |
Locations
655 Medical Center Dr NE
Salem, OR 97301
Phone (503) 581-5287
Organizations & group practices 1
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": "1231027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1154567790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 MEDICAL CENTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012751",
"telephone_number": "503-581-5287",
"fax_number": "503-386-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MEDICAL CENTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012751",
"telephone_number": "503-581-5287",
"fax_number": "503-386-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUPE",
"first_name": "ADAM",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-04",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "ATI4341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.