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SHADER VISION
NPI 1043041486
Ophthalmology in Lake Havasu City, AZ

Active since August 08, 2024
297 LAKE HAVASU AVE S STE 204, LAKE HAVASU CITY, AZ 86403(541) 990-0354 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shader Vision NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADER VISION (NPI 1043041486) is a healthcare organization registered as an ophthalmology in Lake Havasu City, Arizona and active in the NPI registry since August 2024. The organization lists Jonathan D Shader, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043041486
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSHADER VISION
Location Address297 LAKE HAVASU AVE S STE 204Lake Havasu City, AZ 86403-6526
Mailing Address43241 Pietra CtIndio, CA 92203-2928 · (541) 990-0354
Phone(541) 990-0354
Organization SubpartNo
Authorized OfficialJonathan D ShaderMedical Director · (541) 990-0354
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1043041486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
297 LAKE HAVASU AVE S STE 204, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FPS MEDICAL CENTER LTD
Family Medicine
297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-1970
JONATHAN SHADER DO
Ophthalmology
297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 490-2121
MISTY MAPLE FNP-C
Nurse Practitioner (Family)
297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-1970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shader Vision's NPI number?

The NPI number for Shader Vision is 1043041486. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Shader Vision located?

Shader Vision is located at 297 Lake Havasu Ave S Ste 204, Lake Havasu City, AZ 86403. The listed phone number is (541) 990-0354.

What is Shader Vision's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Shader Vision was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.