Alan Shaffer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2117 Issued in FL

Practice address

2301 Wilton Dr
C1
Wilton Manors, FL 33305-1202

Phone

(954) 764-6906

Fax

(954) 463-7922

NPI assigned

May 31, 2005

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 FL

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

Pennsylvania College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment Care Compare group NPD
• Eye Optics of Boca, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1689708802
  NPD (past) Authorized official
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Wilton Manors, FL
  • NPI 1942782073
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1679576995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WILTON DR",
            "address_2": "C1",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051202",
            "telephone_number": "954-764-6906",
            "fax_number": "954-463-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WILTON DR",
            "address_2": "C1",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051202",
            "telephone_number": "954-764-6906",
            "fax_number": "954-463-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bartley, LCSW, LLC
• Adam R Sasso, M.D.
• Cornelius Hugh Scannell, MD
• Stephen Thomas Scoglio, DMD
• Alex Seidman, LMHC
• Visha Shah
• Alice Lisa Shapiro, LMHC
• Sharon Zachariah DMD LLC
• Jeffrey Shearer, LCSW
• Chelsea Angelica Sherwood

• Optometrist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.