William E Shaw Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME154015 Issued in FL

Practice address

1353 N Courtenay Pkwy Ste T
Merritt Island, FL 32953-4463

Phone

(321) 449-2966

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: williamshaw@coan.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/AJBBED/Endpoint/AJBBED

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.

• Landmark Eye, LLC

  • Ophthalmology Physician
  • Merritt Island, FL
  • NPI 1851282511

  Single Specialty

  Medicare reassignment NPD Authorized official
• Aggarwal Medical Associates PA

  • Ophthalmology Physician
  • Merritt Island, FL
  • NPI 1962449785

  Single Specialty

  Medicare reassignment NPD
• Eye Care Optical

  • Eyewear Supplier
  • Lynchburg, VA
  • NPI 1962576652
  NPD (past) Authorized official
• William E. Shaw, Jr., MD LLC.

  • Ophthalmology Physician
  • Colonial Heights, VA
  • NPI 1760567051

  Single Specialty

  NPD (past) Authorized official
• Kovach Eye Institute, LTD

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1669498267

  Single Specialty

  NPD
• Ambulatory Surgical Care, LLC

  • Ambulatory Surgical Clinic/Center
  • Merritt Island, FL
  • NPI 1750313144
  NPD (past)
• Fox Valley Laser Center

  • Optometrist
  • Naperville, IL
  • NPI 1023243847

  Single Specialty

  NPD (past)
• Midwest Dry Eye Center LLC

  • Optometrist
  • Lincolnwood, IL
  • NPI 1366106775

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1730149550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N COURTENAY PKWY STE T",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534463",
            "telephone_number": "321-449-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N COURTENAY PKWY STE T",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534463",
            "telephone_number": "321-449-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036085447",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME154015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114592300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine L Shankland, LMT
• Amit Kumar Sharma, MD
• Allyssa N Sharrow, DPT
• Barbara Sharrow
• Christine E. Shaw, LMT
• Steven Eugene Shepard, PT
• Tereasa Dianne Shepherd, P.T., MSHA
• Shrew Inc.
• Priscila Rosal Siaga Jenkins, RN
• Anthony John Sidor, D.D.S.

• Ophthalmology Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.