Debra Ann Shim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3312 Issued in FL

Practice address

451 University Blvd
Suite 102
Jupiter, FL 33458-3102

Phone

(561) 625-4380

Fax

(561) 625-3920

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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 FL

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Debra a. Shim, O.D., P.a.

  • Optometrist
  • Jupiter, FL
  • NPI 1134455736
  Medicare reassignment NPD Authorized official
• Debra a. Shim, OD, PA

  • Corneal and Contact Management Optometrist
  • Jupiter, FL
  • NPI 1801293709
  NPD (past) Authorized official
• Imperial Vision Center, Inc

  • Optometrist
  • Boca Raton, FL
  • NPI 1861859571
  NPD (past)
• Academy for Visual Achievement, Inc.

  • Vision Therapy Optometrist
  • Lakewood, CO
  • NPI 1033304514
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342224000000",
    "number": "1407907413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 UNIVERSITY BLVD",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583102",
            "telephone_number": "561-625-4380",
            "fax_number": "561-625-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 UNIVERSITY BLVD",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583102",
            "telephone_number": "561-625-4380",
            "fax_number": "561-625-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Gaye Sherman, ARNP
• Carrie Mae Sherrill, COTA/L
• Gary S Shifrin, MD
• Mazin M Shikara, M.D.
• Marisa Beryl Shilling, M.S.
• Nancy M Shirk, PT
• Carmen Anita Shirley, MD
• Michele Shockley, ARNP
• Kevin Tyler Shope, PA-C
• Shorelinesmiles PA

• Optometrist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; 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.