Individual provider Active NPI

Allecia Shoemaker, O. D.

  • Optometrist
  • Silverton, OR
National Provider Identifier
1750690830
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3501ATI Issued in OR
Practice address
114 W Main St
Silverton, OR 97381-2019
Phone
(503) 874-2020
Fax
(503) 873-6977
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3501ATI OR Primary

Addresses

Primary practice location

114 W Main St
Silverton, OR 97381-2019

Mailing address

114 W Main St
Silverton, OR 97381-2019
Phone (503) 874-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20130702000751 OR Practitioner - Optometry 4284874819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton Eye Care LLCGroup PAC ID 8123248788, 2 clinicians

Practice addresses (Care Compare)

114 W Main St
Silverton, OR 97381-2019
Phone (503) 874-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3501ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Eye Care LLC Optometrist CurrentSince Oct 7, 2021 Accepting new patients
Reed Eyecare, PC Optometrist CurrentSince Dec 29, 2024 Accepting new patients
Rha Ventures LLC Optometrist CurrentSince Sep 4, 2019 Accepting new patients
Silver Falls Eyecare, P.C. Optometrist CurrentSince Jul 1, 2013 Accepting new patients
Stuart a Terry MD PA PastSince Sep 4, 2019 Accepting new patients
Silverton Eyecare Optometrist PastSince Feb 9, 2025 Accepting new patients

Locations

307 E Hancock St
Newberg, OR 97132
Phone (503) 538-2010

600 N 1st St
Silverton, OR 97381
Phone (503) 873-8619

114 W Main St
Silverton, OR 97381
Phone (503) 873-2788

25699 SW Argyle Ave
Ste A
Wilsonville, OR 97070
Phone (503) 833-2662

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1750690830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812019",
            "telephone_number": "503-874-2020",
            "fax_number": "503-873-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812019",
            "telephone_number": "503-874-2020",
            "fax_number": "503-873-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "ALLECIA",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3501ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

Verify at the official NPI Registry.