Individual provider Active NPI

Jennifer Erin Shewring, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1831135797
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5573 Issued in OK
Practice address
1070 Polaris Pkwy Ste 110
Columbus, OH 43240-4039
Phone
(614) 880-1493
Fax
(614) 880-1493
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5573 OK Primary

Addresses

Primary practice location

1070 Polaris Pkwy Ste 110
Columbus, OH 43240-4039

Mailing address

553 E Town St
Columbus, OH 43215-4856
Phone (614) 461-1885

Other practice location 1

553 E Town St
Columbus, OH 43215-4856
Phone (614) 461-1885

Other identifiers 1

IdentifierTypeStateIssuer
2661365MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060124000226 OH Practitioner - Optometry 5496779985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polaris Eye CareGroup PAC ID 5991060881, 2 clinicians

Practice addresses (Care Compare)

1070 Polaris Pkwy
Suite 200
Columbus, OH 43240-4039
Phone (614) 880-1493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5573OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Eye Care Optometrist CurrentSince Mar 18, 2018 Accepting new patients

Locations

1070 Polaris Pkwy
Ste 110
Columbus, OH 43240
Phone (614) 880-1493

1070 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-1493

Organizations & group practices 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831135797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154856",
            "telephone_number": "614-461-1885",
            "fax_number": "614-461-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 POLARIS PKWY STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404039",
            "telephone_number": "614-880-1493",
            "fax_number": "614-880-1493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 E Town St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154856",
            "country_code": "US",
            "telephone_number": "614-461-1885",
            "fax_number": "614-461-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEWRING",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2661365",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.