Garry C. Shoemaker, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000704 Issued in VA

Legal business name

GARRY C. SHOEMAKER, O.D., P.C.

Practice address

1608 Pleasure House Rd
Suite 106
Virginia Beach, VA 23455-4046

Phone

(757) 460-9402

Fax

(757) 460-9462

NPI assigned

Jan 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Osvaldo Diaz, ODNPI 1598197675

Title

President

Phone

(757) 460-9402

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Seascape Eyecare Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Osvaldo Diaz, O.D

  • Optometrist
  • Virginia Beach, VA
  • NPI 1598197675
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Dawn Bumgardner, O.D.

  • Optometrist
  • Virginia Beach, VA
  • NPI 1598197501
  Medicare reassignment Care Compare group NPD
• Garry Carlton Shoemaker, O.D.

  • Corneal and Contact Management Optometrist
  • Virginia Beach, VA
  • NPI 1578595922
  Medicare reassignment NPD

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1508196668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 PLEASURE HOUSE RD",
            "address_2": "SUITE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554046",
            "telephone_number": "757-460-9402",
            "fax_number": "757-460-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 PLEASURE HOUSE RD",
            "address_2": "SUITE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554046",
            "telephone_number": "757-460-9402",
            "fax_number": "757-460-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY C. SHOEMAKER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-460-9402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009233849",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "33036",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ0280",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "394271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5464802",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seascape Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquetta Delshawn Garris, NP
• Katie Scarlett Garrison
• Summer T Garrison, M.P.T
• Tiffany Marie Garrison, PA-C
• Megan Garrod, PHARMD
• Jaden Tyrell Garvin, EXCPT
• Gary Newell, D.D.S., Inc.
• Gary Newell, DDS, Inc.
• Emma Laura Gash, NP
• Elizabeth Kendall Gaskill, P.A.

• Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.