Athar Shadmani

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

MD491655 Issued in PA

Practice address

4407 Carlisle Pike
Camp Hill, PA 17011-4159

Phone

(717) 975-2015

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Innovation Centers of Pennsylvania LLCGroup PAC ID 0840625349, 86 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: athar.shadmani@vip.emadirect.md
• Direct secure messaging: ashadmani144270@direct.med.miami.edu

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.

• Vision Innovation Centers of Pennsylvania LLC

  • Ophthalmology Physician
  • Kingston, PA
  • NPI 1962046458
  Medicare reassignment Care Compare group NPD
• Vision Innovation Centers of Pennsylvania LLC

  • Optician
  • West Reading, PA
  • NPI 1811608078
  NPD
• Vision Innovation Centers of Pennsylvania, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomsburg, PA
  • NPI 1275177602
  NPD
• Vision Innovation Centers of Pennsylvania LLC

  • Durable Medical Equipment & Medical Supplies
  • Nanticoke, PA
  • NPI 1104460542
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1679317226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114159",
            "telephone_number": "717-975-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Linglestown Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171121071",
            "country_code": "US",
            "telephone_number": "717-657-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADMANI",
        "first_name": "ATHAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD491655",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN39136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Shackelford, RD, LDN
• Shadai Healthcare Services LLC
• Shadai Healthcare Services LLC (Shadai Home Health Services)
• Shadai Transportation LLC
• Jacqualynn Shade, LPN
• James Andrew Shaffer, MD
• Kristen Shaffer
• Shannon Shaffer, LPN
• Shelby Alexandra Shaffer, DDS
• Jay Arvind Shah, M.D.

• Retina Specialist (Ophthalmology) Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Retina Specialist (Ophthalmology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.