Patrick Leigh Shepard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006961 Issued in OH

Practice address

16706 Chillicothe Rd Ste 500
Chagrin Falls, OH 44023-4573

Phone

(440) 708-0020

NPI assigned

May 12, 2021

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 OH

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

Ohio State University - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chagrin Valley Optometrists, IncGroup PAC ID 7315908951, 3 clinicians

Shirley R. Daniel, O.D. and Terry E. Daniel, O.D., Inc.Group PAC ID 7719987452, 3 clinicians

Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chagrin Valley Optometrists, Inc

  • Optometrist
  • Chagrin Falls, OH
  • NPI 1548443302
  Medicare reassignment Care Compare group NPD
• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment Care Compare group NPD
• Shirley R. Daniel, O.D. & Terry E. Daniel, O.D., Inc.

  • Optometrist
  • Berea, OH
  • NPI 1407938244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1760066906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 JAMESTOWNE DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16706 CHILLICOTHE RD STE 500",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234573",
            "telephone_number": "440-708-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 High St",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171833",
            "country_code": "US",
            "telephone_number": "440-234-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "PATRICK",
        "middle_name": "LEIGH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Steven Segulin, LPT
• Senior Wellness Solutions, Inc
• Sarah Elizabeth Serafin, MT
• Leonard Shamis, BSN, RN
• Eric JB Shapiro, MD
• Shepherd Services LLC
• Megan A Shiga, DDS
• Olha Shtyrka
• Valerie Sigman
• Elena Leah Simkhovich

• Optometrist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.