Shane Michael Maag, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5882 Issued in OH

Practice address

1518 N Perry St
Ottawa, OH 45875-1167

Phone

(419) 523-5670

Fax

(419) 523-4025

NPI assigned

Jun 16, 2009

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 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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ottawa Eyecare LLCGroup PAC ID 6709021108, 2 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 and National Provider Directory roles.

• Ottawa Eyecare LLC

  • Optometrist
  • Ottawa, OH
  • NPI 1124364732
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1609003763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 N PERRY ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751167",
            "telephone_number": "419-523-5670",
            "fax_number": "419-523-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 N PERRY ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751167",
            "telephone_number": "419-523-5670",
            "fax_number": "419-523-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAG",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Paige Maag, OTR/L
• Jennifer R Maag, MD
• Jodi Maag, M.S., CCC-SLP
• Joyce Maag
• Meghan Maag, OTR/L
• Peter Macke
• Majestic Care of Ottawa LLC
• Brooke Mangas
• Cheryl Ann Mansfield, LPN
• Frankie D McBee

• Optometrist in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.