Jacob Scott Shipton

Primary specialty

OptometristTaxonomy code 152W00000X

License

100534 Issued in ID

Practice address

310 2ND St S
Nampa, ID 83651-3765

Phone

(208) 467-1361

NPI assigned

Jun 1, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Ohio State University - College of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Eyecare Associates of Nampa PAGroup PAC ID 0244238004, 6 clinicians

Eyecare Associates of Eastgate PAGroup PAC ID 7911063409, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Associates of Eastgate PA

  • Eyewear Supplier
  • Boise, ID
  • NPI 1265589048
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Nampa PA

  • Optometrist
  • Nampa, ID
  • NPI 1134204100
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Kuna

  • Optometrist
  • Kuna, ID
  • NPI 1962067538
  Medicare reassignment NPD
• Hollingshead Eye Center, PC

  • Ophthalmology Physician
  • Boise, ID
  • NPI 1871643585

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1952977928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513765",
            "telephone_number": "208-467-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513765",
            "telephone_number": "208-467-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPTON",
        "first_name": "JACOB",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drshipton@ecanampa.com",
            "affiliation": "N",
            "endpointDescription": "secure work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "310 2nd St S",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836513765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Shelton
• Aimee Elizabeth Shepard, FNP-C
• Jacqueline Sherwood, LCSW
• Heidi Elizabeth Shields, MD
• Brian Shintaku, BS
• Daren Shishido, D.C.
• Kelli Spessard Shoaf, LPC
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 064)
• Shopko Stores Operating Co. LLC (ShopKo Optical 064)
• Rodney R Short, DC

• Optometrist in Nampa, ID
• Providers in Nampa, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.