Organization Active NPI

Dr Shewmaker & Associates Optometrists Inc

Doing business as Vision One

  • Optometrist
  • Dry Ridge, KY
National Provider Identifier
1801949227
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0938DT Issued in KY
Legal business name
DR SHEWMAKER & ASSOCIATES OPTOMETRISTS INC
Doing business as
Vision One
Practice address
1114 Fashion Ridge Rd
Dry Ridge, KY 41035-9609
Phone
(859) 824-4415
Fax
(859) 824-4497
NPI assigned
Jan 19, 2007
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Virginia Lachmann
Title
Practice Administrator
Phone
(859) 341-2566

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0938DT KY Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1570DT KY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1653DT KY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1569DT KY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1753DT KY
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X KY-1377 KY

Addresses

Primary practice location

1114 Fashion Ridge Rd
Dry Ridge, KY 41035-9609

Mailing address

1114 Fashion Ridge Rd
Dry Ridge, KY 41035-9609
Phone (859) 824-4415

Other names 1

  • Vision One Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000616 KY Part B Supplier - Clinic/Group Practice 7719874049 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dry Ridge, KY; Fort Mitchell, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1114 Fashion Ridge Rd
Dry Ridge, KY 41035
Phone (859) 824-4415

2174 Dixie Hwy
Ft Mitchell, KY 41017
Phone (606) 341-2566

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1801949227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 FASHION RIDGE RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359609",
            "telephone_number": "859-824-4415",
            "fax_number": "859-824-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 FASHION RIDGE RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359609",
            "telephone_number": "859-824-4415",
            "fax_number": "859-824-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHEWMAKER & ASSOCIATES OPTOMETRISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "LACHMANN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "859-341-2566"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0938DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1570DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1653DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1569DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1753DT",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "KY-1377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dry Ridge, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.