Individual provider Active NPI

Justin Shearman, OD

  • Optometrist
  • Altoona, PA
National Provider Identifier
1306330022
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003404 Issued in PA
Practice address
182 Falon LN
Altoona, PA 16602-6541
Phone
(814) 201-5407
NPI assigned
Jun 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003404 PA Primary

Addresses

Primary practice location

182 Falon LN
Altoona, PA 16602-6541

Mailing address

130 Foust Dr
Johnstown, PA 15904-4009
Phone (814) 341-2697

Other practice location 1

130 Foust Dr
Johnstown, PA 15904-4009
Phone (814) 341-2697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724002503 PA Practitioner - Optometry 0446586747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan D Imler OD PCGroup PAC ID 1658498696, 6 clinicians

Practice addresses (Care Compare)

108 Olde Farm Office Rd
Duncansville, PA 16635-9417
Phone (814) 695-3141

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
94.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003404PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan D Imler OD PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

108 Olde Farm Office Rd
Duncansville, PA 16635
Phone (814) 695-3141

Interoperability endpoints

  • Direct secure messaging: jshearman@eyeclinicdirect.net

Organizations & group practices 2

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": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1306330022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FOUST DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159044009",
            "telephone_number": "814-341-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 FALON LN",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026541",
            "telephone_number": "814-201-5407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Foust Dr",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159044009",
            "country_code": "US",
            "telephone_number": "814-341-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEARMAN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-16",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.