Zachary Shriver, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3574-35 Issued in WI

Practice address

1440 Capitol Dr
Pewaukee, WI 53072-2656

Phone

(262) 820-2656

Fax

(262) 737-6010

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• Shoptikal LLC

  dba Shopko Optical 4051

  • Eyewear Supplier
  • Fort Atkinson, WI
  • NPI 1023674496

  Optometrist

  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Shoptikal LLC

  dba Shopko Optical 4244

  • Eyewear Supplier
  • Hales Corners, WI
  • NPI 1023691797

  Optometrist

  NPD (past)
• Shoptikal LLC

  dba Shopko Optical 4238

  • Eyewear Supplier
  • Hartford, WI
  • NPI 1912598830

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1841852464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CAPITOL DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722656",
            "telephone_number": "262-820-2656",
            "fax_number": "262-737-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CAPITOL DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722656",
            "telephone_number": "262-820-2656",
            "fax_number": "262-737-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "ZACHARY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3574-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Scott Shepherd, D.C.
• Melissa Shera, DC
• Abigail Lynn Sherer
• Gary Shields, DPT
• Shoptikal LLC (Shopko Optical 4219)
• Clayton Lennon Sims
• Angela Christine Skebba, APNP
• Julie Skrypchak, PA-C
• Connor Joseph Smith, PHARM.D., RPH
• Megan Nicole Smith, MA, LPC

• Optometrist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.