Individual provider Active NPI

Samuel Patrick Shippee, O.D.

  • Optometrist
  • Lancaster, NH
National Provider Identifier
1508845025
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0768 Issued in NH
Practice address
150 Main St
Lancaster, NH 03584-3033
Phone
(603) 788-3561
Fax
(603) 788-5549
NPI assigned
Jan 12, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.000331 VT
Optometrist 152W00000X 0768 NH Primary

Addresses

Primary practice location

150 Main St
Lancaster, NH 03584-3033

Mailing address

114 Main St
Montpelier, VT 05602-3254
Phone (802) 223-7723

Other identifiers 3

IdentifierTypeStateIssuer
30353009MedicaidNH
30357369MedicaidNH
1016148MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 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

Enrollment IDStateProvider typePAC IDDetails
I20040826000964 NH Practitioner - Optometry 8921073701 Reassigns benefits to 2 organizations
I20140121000069 VT Practitioner - Optometry 8921073701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shippee Family Eye Care PCGroup PAC ID 4183772239, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

150 Main St
Lancaster, NH 03584-3033
Phone (603) 788-3561

468 Hospital Dr
Saint Johnsbury, VT 05819-9225
Phone (802) 223-7723

580 Saint Johnsbury Rd
Suite 12
Littleton, NH 03561-3437
Phone (603) 444-2184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.19 of 100Reported as individual
Quality
58.38
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.000331VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shippee Family Eye Care PC Optometrist CurrentSince Jul 7, 2015 Accepting new patients
Shippee Family Eye Care PC Optometrist CurrentSince Mar 1, 2009 Accepting new patients
Shippee Family Eye Care, P.C. Optometrist CurrentSince Mar 1, 2009 Accepting new patients
Shippee Family Eye Care, P.C. Past Accepting new patients
Samuel P. Shippee Optometrist PastSince Aug 1, 2004 Accepting new patients

Locations

150 Main St
Lancaster, NH 03584
Phone (603) 788-3561

580 Saint Johnsbury Rd
Ste 12
Littleton, NH 03561
Phone (603) 444-2184

15 E State St
Montpelier, VT 05602
Phone (802) 223-7723

468 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 223-7723

Interoperability endpoints

  • Direct secure messaging: sshippee@shippeefamilyeyecare.eyefinity-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1508845025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023254",
            "telephone_number": "802-223-7723",
            "fax_number": "802-223-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843033",
            "telephone_number": "603-788-3561",
            "fax_number": "603-788-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPEE",
        "first_name": "SAMUEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.000331",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30353009",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30357369",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016148",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NH

Sources for this page

Verify at the official NPI Registry.