Shane Lee Claborn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2552 Issued in OK

Practice address

4250 NW Cache Rd
Lawton, OK 73505-3606

Phone

(580) 248-0061

Fax

(580) 248-0074

NPI assigned

Jul 28, 2008

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 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

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Health Associates P.L.L.C.Group PAC ID 0840294120, 7 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.

• Eye Health Associates, P.L.L.C.

  dba Complete Eye Care

  • Optometrist
  • Lawton, OK
  • NPI 1982618534
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1962667055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053606",
            "telephone_number": "580-248-0061",
            "fax_number": "580-248-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053606",
            "telephone_number": "580-248-0061",
            "fax_number": "580-248-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABORN",
        "first_name": "SHANE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200208350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Church, PTA
• Jennifer Ann Chwalisz-Mobley
• Maristela Cibes-Silva, M.D.
• Cassie Cintron, LPN
• Khadija Jospeha-Ali Cintron, LPN
• Kimberly Nicole Clark
• Tryesha Shiray Clark
• Kimberly Sherrie Clayton
• David Allen Clem, P.A.
• Brandi Clements

• Optometrist in Lawton, OK
• Providers in Lawton, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.