Dr Shewmaker & Associates Optometrists Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0938DT Issued in KY

Legal business name

DR SHEWMAKER & ASSOCIATES OPTOMETRISTS INC

Practice address

1114 Fashion Ridge Rd
Dry Ridge, KY 41035-9609

Phone

(859) 824-4415

Fax

(859) 824-4497

NPI assigned

Jan 19, 2007

Organization subpart

No

Name

Virginia Lachmann

Title

Practice Administrator

Phone

(859) 341-2566

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

• Dr Shewmaker & Associates Optometrists Inc

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1871641332

  O20040302000616

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Ann Blanke, OD

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1245929140
  NPD
• Jennifer Mercado, O.D.

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1306955281
  NPD
• Jamie Daniels Bertram, O.D.

  • Optometrist
  • Crescent Springs, KY
  • NPI 1417911678
  NPD (past)
• Paul Timothy Bertram, O.D.

  • Optometrist
  • Lexington, KY
  • NPI 1093770570
  NPD (past)
• Chelsey Rae Guidugli, OD

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1205569621
  NPD (past)
• Karen Elaine Manko, O.D.

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1487900494
  NPD (past)
• William Ferdinand Metzger, O.D.

  • Optometrist
  • Ft Wright, KY
  • NPI 1730255605
  NPD (past)
• Craig S Pennell, OD

  • Optometrist
  • Independence, KY
  • NPI 1841351228
  NPD (past)
• Amy E Press, OD

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1740324474
  NPD (past)
• Ryan Michael Subler, O.D.

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1568556132
  NPD (past)
• Chris D Thon, O.D.

  • Optometrist
  • Crestview Hills, KY
  • NPI 1871595025
  NPD (past)
• Leslie Joan Humphrey, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1255378998
  NPD (past)
• Chad Robeck, OD

  • Optometrist
  • Cass Lake, MN
  • NPI 1033695689
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in KY

Locations

• Vision One Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2019.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001659",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100057440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100172260",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009389",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1753DT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "45003993",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sky Colston
• Core Health Centers of Dry Ridge LLC
• Jasmine Marie Crozier I
• Jeffrey William Davis
• Amy J Dichiara, MD
• Fast Pace Kentucky PLLC
• Craig Fennell, D.C.
• Friendly Comfort Dentistry LLC
• Niklaus F. Gehler, D.C.
• Candace N Gorby, AT

• All providers in Dry Ridge, KY
• Optometrist in Kentucky

• 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.