Shannon C Schaffer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1016 Issued in NE

Practice address

16920 Wright PLZ
Suite 122
Omaha, NE 68130-4660

Phone

(402) 898-3937

Fax

(402) 333-3885

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NE

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

Berkeley Northeastern State University - College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

See Vision Services LLCGroup PAC ID 1153771779, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• See Vision Services, LLC

  • Optometrist
  • Omaha, NE
  • NPI 1235914268
  Medicare reassignment Care Compare group NPD
• Creighton University

  • Clinic Pharmacy
  • Omaha, NE
  • NPI 1477547347
  NPD (past)
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bellevue, NE
  • NPI 1295105112
  NPD (past)
• Day N Night Medical Supply, LP

  • Durable Medical Equipment & Medical Supplies
  • Victoria, TX
  • NPI 1588435705
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1881633717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 WRIGHT PLZ",
            "address_2": "SUITE 122",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304660",
            "telephone_number": "402-898-3937",
            "fax_number": "402-333-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 WRIGHT PLZ",
            "address_2": "SUITE 122",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304660",
            "telephone_number": "402-898-3937",
            "fax_number": "402-333-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "SHANNON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410039188",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025388500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025583800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025388400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36336",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARE ADVANTAGE",
            "identifier": "903741",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Schafer, PHARMD
• Michael Edwin Schafer, MD
• Nichole Schafer
• Pamela K Schaffart, CNM
• Marilyn A Schaffer
• Gregory L Schaffert, CFTS
• Joshua David Schaldenbrand, M.A., PLMHP
• Mackenzie Schalk
• Alexander Schall
• Michelle Schaller, LPC, LMHP

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.