William John Shaffer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5774T Issued in CA

Practice address

340 S 5TH St
Oxnard, CA 93030-7043

Phone

(805) 487-6363

Fax

(805) 486-9698

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern College of Optometry, 1973

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shaffer Vision Inc.

  • Clinic/Center
  • Oxnard, CA
  • NPI 1871246298
  NPD Authorized official
• Khaled a. Tawansy, M.D., Inc

  dba Children's Retina Institute

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477733822
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1457451031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307043",
            "telephone_number": "805-487-6363",
            "fax_number": "805-486-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307043",
            "telephone_number": "805-487-6363",
            "fax_number": "805-486-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5774T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadia A Sethi, D.D.S.
• Nelson Severiano
• Armand Mbuya Shabanza
• Mehrdad Shademan, D.C.
• Shaffer Vision Inc.
• Barbara L Shah, NP
• Keval Dipak Shah, D.O.
• Lina Sarthi Shah, M.D.
• Roshan Ara Shah
• Moushegh Shakarian, DDS

• Optometrist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.