Stephen Joseph Shalamanda Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG004155 Issued in PA

Practice address

50 Berkshire CT
Wyomissing, PA 19610-1219

Phone

(610) 374-3134

NPI assigned

Jun 5, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyomissing Optometric Center, Inc.Group PAC ID 3274427208, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wyomissing Optometric Center, Inc.

  • Optometrist
  • Wyomissing, PA
  • NPI 1366404345
  Medicare reassignment Care Compare group NPD
• Wyomissing Optometric Center, Inc.

  • Optometrist
  • Douglassville, PA
  • NPI 1437348539
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1568203248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 DIPLOMAT DR",
            "city": "ROBESONIA",
            "state": "PA",
            "postal_code": "195511600",
            "telephone_number": "570-205-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BERKSHIRE CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101219",
            "telephone_number": "610-374-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALAMANDA",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Catherine Shaffer, CRNP
• Kanchi B Shah
• Kevin J Shah, MD
• Nirav R. Shah, MD, MPH
• Sajjad H Shah, M.DM
• Tamara Shamus
• Jed Scott Shapiro, M.D.
• John A Shapiro, M.D.
• Ali Sharifbeigi, DDS
• Ashima Sharma, DMD

• Optometrist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.

Verify at the official NPI Registry.