Individual provider Active NPI

Shane A. Foster, O.D.

  • Optometrist
  • Athens, OH
National Provider Identifier
1538322508
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5792 Issued in OH
Practice address
416 W Union St
Athens, OH 45701-2328
Phone
(740) 594-2271
Fax
(740) 594-2270
NPI assigned
Jul 9, 2008
Last updated
May 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5792 OH Primary

Addresses

Primary practice location

416 W Union St
Athens, OH 45701-2328

Mailing address

416 West Union Street
Athens, OH 45701
Phone (740) 594-2271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000094 OH Practitioner - Optometry 3779650379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Eye Care LLCGroup PAC ID 4981666880, 5 clinicians

Practice addresses (Care Compare)

14 University Estates Blvd
Suite 100
Athens, OH 45701-3375
Phone (740) 594-2271

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Eye Care, LLC Optometrist CurrentSince Jul 9, 2008 Accepting new patients
Capitol Eyes LLC Optometrist CurrentSince Oct 15, 2023 Accepting new patients
Hocking Hills Eye Care LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Ods Consultants LLC Optometrist PastSince Jul 24, 2017 Accepting new patients

Locations

14 University Estates Blvd
Athens, OH 45701

14 University Estates Blvd
#100
Athens, OH 45701
Phone (740) 594-2271

416 W Union St
Athens, OH 45701
Phone (740) 594-2271

50 W Broad St
Ste 231
Columbus, OH 43215
Phone (614) 224-8005

31630 Chieftain Dr
Logan, OH 43138
Phone (740) 385-4017

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1538322508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WEST UNION STREET",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-594-2271",
            "fax_number": "740-594-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W UNION ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012328",
            "telephone_number": "740-594-2271",
            "fax_number": "740-594-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SHANE",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.