SHADER VISION
NPI 1043041486
Ophthalmology in Lake Havasu City, AZ
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shader Vision is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shader Vision, which bills Medicare for the services this clinician delivers.
Clinician (1)
Lake Havasu City, AZ 86403
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Shader Vision enrolled in Medicare?
Yes. Shader Vision is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shader Vision?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Shader Vision. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shader Vision accept?
Health plans from Anthem Blue Cross and Blue Shield list Shader Vision as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Shader Vision · NPI 1043041486
Ophthalmology organization in Lake Havasu City, Arizona. Organization record, active in the CMS NPPES registry since August 8, 2024.
## Identity
- **NPI:** 1043041486 (Entity type: Organization)
- **Enumerated:** August 8, 2024
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Jonathan Shader, MEDICAL DIRECTOR
## Practice location
- **Address:** 297 LAKE HAVASU AVE S STE 204, Lake Havasu City, AZ 86403-6526
- **Phone:** (541) 990-0354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043041486) · Data from the CMS NPPES public registry.