Active NPI
Shannon Verwoert, O.D.
- Optometrist
- Cedar Rapids, IA
National Provider Identifier
1982086286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG003128
- Practice address
- 4625 Blarney Dr
Cedar Rapids, IA 52411-8015 - Phone
- (319) 521-6229
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003128 | PA | Primary |
Addresses
Primary practice location
4625 Blarney Dr
Cedar Rapids, IA 52411-8015
Mailing address
814 W University LN Unit 2a
Chicago, IL 60608-1064
Phone (319) 521-6229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG003128 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1982086286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 W UNIVERSITY LN UNIT 2A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081064",
"telephone_number": "319-521-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 BLARNEY DR",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524118015",
"telephone_number": "319-521-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERWOERT",
"first_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.