Individual provider Active NPI

David William Shoemaker, MD

  • Ophthalmology Physician
  • Venice, FL
National Provider Identifier
1336258433
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME39238 Issued in FL
Practice address
1360 E Venice Ave
Venice, FL 34285-9066
Phone
(941) 488-2020
Fax
(941) 484-2200
NPI assigned
Aug 30, 2006
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME39238 FL Primary

Addresses

Primary practice location

1360 E Venice Ave
Venice, FL 34285-9066

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Other identifiers 2

IdentifierTypeStateIssuer
377968800MedicaidFL
58396OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshoemaker@useye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000525 FL Practitioner - Ophthalmology 2466421011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight PLGroup PAC ID 1658340294, 35 clinicians

Practice addresses (Care Compare)

2601 S Tamiami TRL
Sarasota, FL 34239-4504
Phone (941) 925-2020

Merit-based Incentive Payment System (MIPS)

Final score
88.19 of 100Reported as group
Quality
93.87
Promoting interoperability
100
Improvement activities
40
Cost
66.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME39238FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laser & Surgical Services at Center for Sight LLC CurrentSince Feb 12, 2014 Accepting new patients
Center for Sight, PL Ophthalmology CurrentSince Sep 22, 1981 Accepting new patients
Center for Sight, PL CurrentSince Jan 2, 1997 Accepting new patients

Locations

1800 S McCall Rd
Englewood, FL 34223
Phone (941) 474-2020

2601 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 277-9041

1360 E Venice Ave
Venice, FL 34285

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1336258433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME39238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377968800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58396",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshoemaker@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1360 E Venice Ave",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342859066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.