Active NPI
Steven K Shepard, O.D.
- Optometrist
- Austin, TX
National Provider Identifier
1861481434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3986T
- Practice address
- 11410 Jollyville Rd
Suite 3201
Austin, TX 78759-4097 - Phone
- (512) 343-0406
- Fax
- (512) 343-1093
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3986T | TX | Primary |
Addresses
Primary practice location
11410 Jollyville Rd
Suite 3201
Austin, TX 78759-4097
Mailing address
11410 Jollyville Rd
Suite 3201
Austin, TX 78759-4097
Phone (512) 343-0406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11410 Jollyville Rd
Suite 3201
Austin, TX 78759-2423
Phone (512) 343-0486
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3986T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven & Donna Shepard | Optometrist | Current | Accepting new patients |
Locations
11410 Jollyville Rd
Ste 3201
Austin, TX 78759
Phone (512) 343-0406
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": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1861481434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11410 JOLLYVILLE RD",
"address_2": "SUITE 3201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594097",
"telephone_number": "512-343-0406",
"fax_number": "512-343-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11410 JOLLYVILLE RD",
"address_2": "SUITE 3201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594097",
"telephone_number": "512-343-0406",
"fax_number": "512-343-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "STEVEN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3986T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.