Active NPI
James W Shaver, OD
- Optometrist
- Landis, NC
National Provider Identifier
1174521686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1320
- Practice address
- 301 S Main St
Landis, NC 28088 - Phone
- (704) 857-2238
- Fax
- (704) 857-2239
- NPI assigned
- Jul 8, 2005
- Last updated
- May 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1320 | NC | Primary |
Addresses
Primary practice location
301 S Main St
Landis, NC 28088
Mailing address
PO Box 8147
Landis, NC 28088-8147
Phone (704) 857-2238
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909837 | Medicaid | NC | |
| 09837 | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100216000764 | NC | Practitioner - Optometry | 9931243870 | Practice locations: Landis, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 S Main St
Landis, NC 28088-1713
Phone (704) 857-2238
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1174521686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8147",
"city": "LANDIS",
"state": "NC",
"postal_code": "280888147",
"telephone_number": "704-857-2238",
"fax_number": "704-857-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S MAIN ST",
"city": "LANDIS",
"state": "NC",
"postal_code": "28088",
"telephone_number": "704-857-2238",
"fax_number": "704-857-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVER",
"first_name": "JAMES",
"middle_name": "W",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909837",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "09837",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Landis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.