Whitney Alexandra Shaver, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2306DT Issued in KY

Practice address

4216 Summit Plaza Dr
Louisville, KY 40241-8106

Phone

(502) 327-1091

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Female

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 IN, KY2 enrollments

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 2

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webb Family Eyecare of Indiana IncGroup PAC ID 9436460243, 4 clinicians

Webb Family Eyecare PLCGroup PAC ID 8325266190, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Webb Family Eyecare PLC

  • Optometrist
  • Louisville, KY
  • NPI 1457763948
  Medicare reassignment Care Compare group NPD
• Webb Family Eyecare of Indiana Inc.

  • Optometrist
  • Clarksville, IN
  • NPI 1134512973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1477270726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SAN MARCOS RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991406",
            "telephone_number": "502-649-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 SUMMIT PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402418106",
            "telephone_number": "502-327-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "WHITNEY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2306DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Alexander Shatford, MD
• Annie Elizabeth Shaughnessy, APRN, FNP-C
• James Warren Shaughnessy Jr., D.M.D.
• Kaycelin Renee Shaver
• Samantha Shaver, DMD
• Ashley Shaw
• Brittainy Shaw, LPP
• Carolyn Renee Shaw, LPCC
• Christopher G Shaw, CRNA
• Emily Lauren Shaw, MS, CCC-SLP

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.