Individual provider Active NPI

Jennet Ruth Shepherd, O.D.

  • Optometrist
  • Janesville, WI
National Provider Identifier
1841242369
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2870-035 Issued in WI
Practice address
2500 E US Highway 14
Janesville, WI 53545-0309
Phone
(608) 754-7411
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2870-035 WI Primary

Addresses

Primary practice location

2500 E US Highway 14
Janesville, WI 53545-0309

Mailing address

PO Box 833
2500 US Hwy 14
Janesville, WI 53547-0833
Phone (608) 754-7411

Other identifiers 1

IdentifierTypeStateIssuer
38613900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060615000155 WI Practitioner - Optometry 5799797635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

2029 Humes Rd
Janesville, WI 53545-0275
Phone (608) 754-7411

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2870-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shopko Stores Operating Co LLC Past Accepting new patients

Locations

2500 E US Highway 14
Janesville, WI 53545
Phone (608) 754-7411

2029 Humes Rd
Janesville, WI 53545
Phone (608) 754-7411

3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841242369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "address_2": "2500 US HWY 14",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535470833",
            "telephone_number": "608-754-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E US HIGHWAY 14",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450309",
            "telephone_number": "608-754-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JENNET",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2870-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38613900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.