Active NPI
Sharon M Schaffield, OD
- Optometrist
- Taylor Mill, KY
National Provider Identifier
1508867201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1131DT
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1131DT | KY | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1131DT | KY |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000002027 | Other | KY | ANTHEM |
| 2200827 | Other | KY | UNITED HEALTH CARE |
| 4395731 | Other | KY | AETNA |
| 77011310 | Medicaid | KY | |
| 45002409 | Medicaid | KY |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.