Jonathan F. Shaver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2549 Issued in AR

Legal business name

JONATHAN F. SHAVER, O.D.

Practice address

110 School St
Prairie Grove, AR 72753-2655

Phone

(479) 871-0921

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan F Shaver, O.D.NPI 1790764454

Title

Optometrist

Phone

(479) 871-0921

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan F Shaver, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1790764454
  NPD (past) Authorized official

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1669809844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N 46TH AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047621",
            "telephone_number": "479-871-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SCHOOL ST",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727532655",
            "telephone_number": "479-871-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN F. SHAVER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "479-871-0921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Hunton, MNSC, RNC OB
• Brianna Michele Jackson, HHA
• Jennifer Bingham MD PLLC
• Kristin Leigh Jeremiah, BSN,RN
• John Pardo, DDS , PLLC (Buchanan Street Family Dentistry)
• Bonnie Kay Kragel, DC
• Kathryn Elizabeth Lazure, NP
• Ron D Lee, MD
• Lindsey Gipson LLC (Rae of Hope Counseling)
• Ashley Nicole Mann, RN

• Optometrist in Prairie Grove, AR
• Providers in Prairie Grove, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.