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DR. JEREMY ROSS SHUMAKER O.D. NPI 1730389347


NPI Information

NPI: 1730389347
Provider Name: DR. JEREMY ROSS SHUMAKER, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

Organization: REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY

PECOS Registration: Yes

Address:
361 3RD ST STE C
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 459-2020
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DR. Jeremy Ross Shumaker, O.D. is a corneal and contact management optometrist in San Rafael, CA with 17 years of experience. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Jeremy Ross Shumaker, O.D. NPI is 1730389347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduation Year:2007

The provider's business location address is:

361 3RD ST STE C
SAN RAFAEL, CA
ZIP 94901-580
Phone: (415) 459-2020
Fax: (415) 459-2021

The NPI 1730389347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/21/2007 and was last updated on 6/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management13336TCALIFORNIAYes
2152WP0200XOptometristPediatrics13336TCALIFORNIANo
3152WS0006XOptometristSports Vision13336TCALIFORNIANo
4152WV0400XOptometristVision Therapy13336TCALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.