Anderson & Shapiro Eye Surgeons, SC
Organization Active NPI Ophthalmology Physician · Madison, WI
NPI 1699757302 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1699757302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- ANDERSON & SHAPIRO EYE SURGEONS, SC
- Practice address
- 1200 John Q Hammons Dr Ste 100
Madison, WI 53717-1967 - Phone
- (608) 827-7705
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Authorized Official
- Phone
- (615) 234-5954
Practitioners 7
-
Nicole Anderson-Weiss, M.D.
-
Claire Cordoba, OD
-
Michael B. Shapiro, M.D.
-
Brady Haferman, O.D.
-
Herbert Tucker Webb III, O.D.
-
Karin R. Sletten-Farjo, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Andrson & Shapiro Eye Surgeons SC |
Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000727 | WI | Part B Supplier - Clinic/Group Practice | 4385539378 |
Receives reassigned benefits from 4 practitioners Practice locations: Madison, WI; Sun Prairie, WI |
| O20100930066308 | WI | DME Supplier - Physician - Ophthalmology |
4385539378 | Practice locations: Madison, WI |
National Provider Directory
Locations
1132 N Johns St
Dodgeville, WI 53533
Phone (608) 935-3937
321 E Milwaukee St
Janesville, WI 53545
Phone (608) 551-0894
1200 John Q Hammons Dr
Ste 100
Madison, WI 53717
Phone (608) 827-5504
1200 John Q Hammons Dr
Madison, WI 53717
Phone (608) 410-2700
2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 385-3084
Interoperability endpoints
- mshapiro@be2020.intellechartdirect.net
- ccordoba@be2020.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
1200 John Q Hammons Dr Ste 100
Madison, WI 53717-1967
Mailing address
1200 John Q Hammons Dr Ste 100
Madison, WI 53717-1967
Other practice location 1
1455 W Main St
Sun Prairie, WI 53590-1837
Phone (608) 825-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32897700 | Medicaid | WI |
Other providers in Madison, WI
- Lucas Andersen
- Nathan James Andersen
- Nicole M Andersen
- Patrick C Andersen
- William Andersen
- India Anise Anderson-Carter
- Heleen M. Anderson-Grant
- Sara J Anderson-Kim
- Nicole Anderson-Weiss
- Abigail Anderson
All providers in Madison, WI · Ophthalmology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.