Individual provider Active NPI

Sharon M Schaffield, OD

  • Optometrist
  • Taylor Mill, KY
National Provider Identifier
1508867201
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1131DT Issued in KY
Practice address
5522 Taylor Mill Rd
Taylor Mill, KY 41015-4604
Phone
(859) 581-7200
Fax
(859) 581-7256
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5002 Old Taylor Mill Rd
Taylor Mill, KY 41015-2053
Phone (859) 581-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090320000026 KY Practitioner - Optometry 6204993108 Practice locations: Taylor Mill, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1131DT KY Primary
Low Vision Rehabilitation Optometrist 152WL0500X 1131DT KY

Addresses

NPPES NPI Registry

Primary practice location

5522 Taylor Mill Rd
Taylor Mill, KY 41015-4604

Mailing address

5522 Taylor Mill Rd
Taylor Mill, KY 41015-4604
Phone (859) 581-7200

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
000000002027OtherKYANTHEM
2200827OtherKYUNITED HEALTH CARE
4395731OtherKYAETNA
77011310MedicaidKY
45002409MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2008.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1508867201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 TAYLOR MILL RD",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410154604",
            "telephone_number": "859-581-7200",
            "fax_number": "859-581-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 TAYLOR MILL RD",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410154604",
            "telephone_number": "859-581-7200",
            "fax_number": "859-581-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFIELD",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1131DT",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KY",
            "license": "1131DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000002027",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200827",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4395731",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45002409",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor Mill, KY

Sources for this page

Verify at the official NPI Registry.