V. Jerry Shepherd, M.D.

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

7344 Issued in OK

Legal business name

V. JERRY SHEPHERD, M.D.

Practice address

3383 N Meridian Ave
Newcastle, OK 73065-3634

Phone

(405) 376-0649

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin M Harper

Title

Claims Manager

Phone

(405) 376-0649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841495231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730640966",
            "telephone_number": "405-376-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 N MERIDIAN AVE",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730653634",
            "telephone_number": "405-376-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. JERRY SHEPHERD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "405-376-0649"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "OK",
            "license": "7344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmic Technician/Technologist in Newcastle, OK
• Providers in Newcastle, OK by specialty
• Ophthalmic Technician/Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.