Active NPI
Patrick Shafer, O.D.
- Optometrist
- Hopkinsville, KY
National Provider Identifier
1275590291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 947DT
- Practice address
- 300 Clinic Dr
Hopkinsville, KY 42240-4989 - Phone
- (270) 889-9006
- Fax
- (270) 889-0692
- NPI assigned
- Apr 26, 2006
- 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 | 947DT | KY | Primary |
Addresses
Primary practice location
300 Clinic Dr
Hopkinsville, KY 42240-4989
Mailing address
300 Clinic Dr
Hopkinsville, KY 42240-4989
Phone (270) 889-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20031106000622 | KY | Practitioner - Optometry | 4082527031 | Practice locations: Hopkinsville, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Clinic Dr
Hopkinsville, KY 42240-4989
Phone (270) 889-9006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 947DT | KY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1275590291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CLINIC DR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422404989",
"telephone_number": "270-889-9006",
"fax_number": "270-889-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CLINIC DR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422404989",
"telephone_number": "270-889-9006",
"fax_number": "270-889-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "947DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.