Individual provider Active NPI

William Brian Shewey, O.D.

  • Optometrist
  • Enid, OK
National Provider Identifier
1912905126
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2055 Issued in OK
Practice address
615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5951
Phone
(580) 233-4711
Fax
(580) 234-6686
NPI assigned
Jul 12, 2005
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2055 OK Primary

Addresses

Primary practice location

615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5951

Mailing address

615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5951
Phone (580) 233-4711

Other identifiers 3

IdentifierTypeStateIssuer
M1427453188MedicaidOK
0748750001OtherOKCIGNA DMERC
410018675OtherOKRAILROAD MEDICARE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100811000370 OK Practitioner - Optometry 7911031000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enid Eye Inc.Group PAC ID 8921045360, 6 clinicians

Practice addresses (Care Compare)

615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5952
Phone (580) 233-4711

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as group
Quality
100
Improvement activities
40
Cost
38.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2055OKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Enid Eye Inc. Optometrist CurrentSince Jul 1, 1992 Accepting new patients
Enid Eye Optical, Inc. PastSince Sep 21, 2004 Accepting new patients

Locations

615 E Oklahoma Ave
Ste 101
Enid, OK 73701
Phone (405) 271-6060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1912905126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE",
            "address_2": "SUITE 101",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015951",
            "telephone_number": "580-233-4711",
            "fax_number": "580-234-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE",
            "address_2": "SUITE 101",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015951",
            "telephone_number": "580-233-4711",
            "fax_number": "580-234-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWEY",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1427453188",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMERC",
            "identifier": "0748750001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410018675",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.