Individual provider Active NPI

Shawn D Jones, OD

  • Optometrist
  • Altoona, PA
National Provider Identifier
1407807381
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000057 Issued in PA
Practice address
1418 11TH Avenue
Altoona, PA 16601
Phone
(814) 946-3937
Fax
(814) 944-8265
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000057 PA Primary

Addresses

Primary practice location

1418 11TH Avenue
Altoona, PA 16601

Mailing address

1418 11TH Avenue
Altoona, PA 16601
Phone (814) 946-3937

Other identifiers 1

IdentifierTypeStateIssuer
0018646880002MedicaidPA

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
I20100929000093 PA Practitioner - Optometry 9234255142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Eye Associates IncGroup PAC ID 4385616143, 5 clinicians

Practice addresses (Care Compare)

1418 11TH Ave
Altoona, PA 16601-3304
Phone (814) 946-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Eye Associates Inc Optometrist CurrentSince Aug 1, 2002 Accepting new patients
Dr. Steven C. Weller, Inc. Optometrist Past Accepting new patients
Dr. Steven C. Weller, Inc. Optometrist PastSince Sep 12, 2019 Accepting new patients

Locations

1418 11th Ave
Altoona, PA 16601
Phone (724) 543-2146

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1407807381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 11TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-946-3937",
            "fax_number": "814-944-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 11TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-946-3937",
            "fax_number": "814-944-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHAWN",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018646880002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.