Individual provider Active NPI

Kathleen Snider Shepler, O.D.

  • Optometrist
  • Logansport, IN
National Provider Identifier
1639127541
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002336A Issued in IN
Practice address
444 Mall Rd
Logansport, IN 46947-2225
Phone
(574) 722-3937
Fax
(574) 735-3937
NPI assigned
May 4, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002336A IN Primary

Addresses

Primary practice location

444 Mall Rd
Logansport, IN 46947-2225

Mailing address

444 Mall Rd
P.O. Box 24
Logansport, IN 46947-2225
Phone (574) 722-3937

Other identifiers 1

IdentifierTypeStateIssuer
100333940MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110207000657 IN Practitioner - Optometry 5597674390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians

Practice addresses (Care Compare)

1327 Main St
Rochester, IN 46975-2107
Phone (574) 224-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002336AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price & Shepler Family Eye Care LLC Optometrist Current Accepting new patients
DRS Price & Shepler Family Eye Care LLC Optometrist CurrentSince Aug 10, 2010 Accepting new patients
Evans Eye Care Inc Optometrist CurrentSince May 22, 2025 Accepting new patients

Locations

1221 S Creasy Ln
Lafayette, IN 47905
Phone (765) 446-8093

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

444 Mall Rd
Logansport, IN 46947
Phone (219) 722-3937

444 Mall Rd
Ste 1
Logansport, IN 46947
Phone (574) 722-3937

1327 Main St
Rochester, IN 46975
Phone (574) 223-3916

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1639127541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MALL RD",
            "address_2": "P.O. BOX 24",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472225",
            "telephone_number": "574-722-3937",
            "fax_number": "574-735-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MALL RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472225",
            "telephone_number": "574-722-3937",
            "fax_number": "574-735-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLER",
        "first_name": "KATHLEEN",
        "middle_name": "SNIDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002336A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100333940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.