Steven Alexander Shadwick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3753 T645 Issued in OH

Practice address

1053 Summitt Dr
Middletown, OH 45042-3464

Phone

(513) 422-8031

Fax

(513) 422-8624

NPI assigned

Oct 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hanke Optometry

  • Optometrist
  • Middletown, OH
  • NPI 1205453008
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1932281144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-422-8031",
            "fax_number": "513-422-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-422-8031",
            "fax_number": "513-422-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADWICK",
        "first_name": "STEVEN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3753 T645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0581562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard A Seitzman, MD
• Scott Alan Sellers
• Semma Enterprises, Inc
• Semma Enterprises, Inc.
• Seva Dental Ohio II LLC
• Lori Ann Shaffer
• Chirag Ashvin Shah, MD
• Dharika Pareshkumar Shah, DO
• Christine Shamoon, QMHS
• Morgan D. Shankle, DMD

• Optometrist in Middletown, OH
• Providers in Middletown, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.