NPIMap

Organization Active NPI

Fox and Sheppard, P.a.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1912230780
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5505TG Issued in TX
Legal business name
FOX AND SHEPPARD, P.A.
Practice address
4400 Fredericksburg Rd Ste 107
San Antonio, TX 78201-1969
Phone
(210) 737-1926
Fax
(210) 737-2621
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Dr. Shawna Wietz Fox, O.D.NPI 1285653741
Title
Co-Owner
Phone
(210) 737-1926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5505TG TX Primary

Addresses

Primary practice location

4400 Fredericksburg Rd Ste 107
San Antonio, TX 78201-1969

Mailing address

4400 Fredericksburg Rd Ste 107
San Antonio, TX 78201-1969
Phone (210) 737-1926

Other names 1

  • Jackson and Lujan Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170207001554 TX Part B Supplier - Clinic/Group Practice 7810270394 Receives reassigned benefits from 7 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4400 Fredericksburg Rd
Ste 107
San Antonio, TX 78201
Phone (210) 737-1926

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1912230780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 FREDERICKSBURG RD STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011969",
            "telephone_number": "210-737-1926",
            "fax_number": "210-737-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 FREDERICKSBURG RD STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011969",
            "telephone_number": "210-737-1926",
            "fax_number": "210-737-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX AND SHEPPARD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "WIETZ",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "210-737-1926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5505TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson and Lujan Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.