Diane Marie Shaver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2817AT Issued in OR

Practice address

1600 N Riverside Ave Unit 2027
Medford, OR 97501-4665

Phone

(541) 779-9851

Fax

(541) 779-9851

NPI assigned

Oct 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Diane Marie Shaver Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason Bates OD PC

  • Optometrist
  • Medford, OR
  • NPI 1710179056
  NPD (past)
• Shajida Espat Reich & Associates PC

  • Optometrist
  • Medford, OR
  • NPI 1770693079
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1821307182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 N APPLEGATE RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279443",
            "telephone_number": "541-862-2739",
            "fax_number": "541-862-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RIVERSIDE AVE UNIT 2027",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014665",
            "telephone_number": "541-779-9851",
            "fax_number": "541-779-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2817AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "SHAVER",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Shannon, LPC
• Anu Sharma, APRN
• Sanjeev Sharma, MD
• Justin M Sharp, CRM
• Kyle Sharp
• Cecily Helen Shaw-Scala, FNP C
• Aubrey Shaw
• Crystal Shaw
• Emily Louise Shaw
• Sara Shaw

• Optometrist in Medford, OR
• Providers in Medford, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.