Active NPI
Jeffrey D. Shearer, O.D., P.a
- Optometrist
- Jacksonville, FL
National Provider Identifier
1659494102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2119
- Legal business name
- JEFFREY D. SHEARER, O.D., P.A
- Practice address
- 9978 Old Baymeadows Rd
Suite # 3
Jacksonville, FL 32256-7905 - Phone
- (904) 641-3937
- Fax
- (904) 641-0159
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey D Shearer, O.D.
- Title
- Eye Doctor
- Phone
- (904) 641-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2119 | FL | Primary |
Addresses
Primary practice location
9978 Old Baymeadows Rd
Suite # 3
Jacksonville, FL 32256-7905
Mailing address
9978 Old Baymeadows Rd
Suite # 3
Jacksonville, FL 32256-7905
Phone (904) 641-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9978 Old Baymeadows Rd
Ste 3
Jacksonville, FL 32256
Phone (904) 641-3937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jacksonville, FL
- NPI 1689717852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1659494102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9978 OLD BAYMEADOWS RD",
"address_2": "SUITE # 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567905",
"telephone_number": "904-641-3937",
"fax_number": "904-641-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9978 OLD BAYMEADOWS RD",
"address_2": "SUITE # 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567905",
"telephone_number": "904-641-3937",
"fax_number": "904-641-0159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY D. SHEARER, O.D., P.A",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "SHEARER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EYE DOCTOR",
"authorized_official_telephone_number": "904-641-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Ri'Coby Diane Jefferson, LPC
- Tinesha Printella Jefferson, APRN
- Vanessa Vanessa Jefferson
- Ashley Jeffords, RD, CDE
- Travis Austin Jeffords, DNP, FNP-BC, APRN
- Jeffrey Friedlander Inc (Jeffrey Friedlander MD)
- Jeffrey L. Burmeister, DPM, P.a.
- Jeffrey W. Bowden, D.D.S., P.a.
- Bruce D Jeffries, DO
- Karina Andrea Jeifez-Zagagi, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.