Shane Jahraus

Primary specialty

OptometristTaxonomy code 152W00000X

License

3341 Issued in MN

Practice address

1801 19TH Ave SW
Willmar, MN 56201-4946

Phone

(320) 235-2020

NPI assigned

Oct 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fischer Laser Eye Center LLCGroup PAC ID 6406756295, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.33 of 100Reported as group

Quality

94.79

Improvement activities

40

Cost

28.04

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fischer Laser Eye Center LLC

  • Corneal and Contact Management Optometrist
  • Willmar, MN
  • NPI 1558310623

  MN, Optometrist

  Medicare reassignment Care Compare group NPD
• Fischer Laser Eye Center, LLC

  • Corneal and Contact Management Optometrist
  • Olivia, MN
  • NPI 1942258413

  Optometrist

  Care Compare group NPD (past)
• Fischer Laser Eye Center LLC

  • Optometrist
  • Montevideo, MN
  • NPI 1477034312
  NPD
• Fischer Laser Eye Center, LLC

  • Optometrist
  • Litchfield, MN
  • NPI 1104016377
  NPD
• Fischer Laser Eye Center, LLC

  • Corneal and Contact Management Optometrist
  • Redwood Falls, MN
  • NPI 1265953608
  NPD
• Fischer Laser Eye Center, LLC

  • Corneal and Contact Management Optometrist
  • Paynesville, MN
  • NPI 1295784338
  NPD
• Fischer Laser Eye Center, LLC

  • Optometrist
  • New London, MN
  • NPI 1508933011
  NPD

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1366752248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-235-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-235-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHRAUS",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Iverson, DDS
• Taylor Elizabeth Iverson, DPT
• Linda A Jackson, DDS
• Jeanne Jacobs, LPCC, NCC
• Teresa Jaeger, LADC
• Heidi Jamma, LICSW
• Wayne Berisford Janitschke Jr., CRNA
• Janning ENT Center, LLC
• Martin Heinz Janning, M.D.
• Madeline J Jarveis

• All providers in Willmar, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.

Verify at the official NPI Registry.