Organization Active NPI

Thea T. Shearer, OD

  • Optometrist
  • Richmond, KY
National Provider Identifier
1982837852
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1478DT Issued in KY
Legal business name
THEA T. SHEARER, OD
Practice address
5019 Atwood Dr
Richmond, KY 40475-8898
Phone
(859) 624-2015
Fax
(859) 624-4415
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Thea T Shearer, O.D.NPI 1073514204
Title
Owner
Phone
(859) 624-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1478DT KY Primary

Addresses

Primary practice location

5019 Atwood Dr
Richmond, KY 40475-8898

Mailing address

5019 Atwood Dr
Richmond, KY 40475-8898
Phone (859) 624-2015

Other names 1

  • ClearSight Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927001144 KY Part B Supplier - Clinic/Group Practice 0042336083 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, KY

National Provider Directory

National Provider Directory

Locations

5019 Atwood Dr
Richmond, KY 40475
Phone (589) 624-2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1982837852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 ATWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758898",
            "telephone_number": "859-624-2015",
            "fax_number": "859-624-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 ATWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758898",
            "telephone_number": "859-624-2015",
            "fax_number": "859-624-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA T. SHEARER, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "THEA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-624-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1478DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearSight Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.