MAVERIK NICHOLAS SHUMWAY
NPI 1063117893
Optometrist in Blanding, UT

Q: What is Maverik Shumway's NPI number?

The NPI number for Maverik Shumway is 1063117893. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Maverik Shumway's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Maverik Shumway was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment

910 S 300 W, BLANDING, UT 84511(435) 678-0590 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Apr 3, 2023 (2 updates tracked since 2023).

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About Maverik Nicholas Shumway NPPES

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

MAVERIK NICHOLAS SHUMWAY (NPI 1063117893) is an individual optometrist in Blanding, Utah, licensed in Utah (13396974-8908) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1063117893

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMAVERIK NICHOLAS SHUMWAY

Location Address910 S 300 WBlanding, UT 84511-3921

Mailing Address2801 N Blue Mountain RdBlanding, UT 84511-2012 · (435) 459-1923

Phone(435) 678-0590

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2023

Enumeration DateApril 3, 2023

Last NPPES UpdateMay 16, 20232 updates tracked since enumeration

NPPES CertifiedMay 16, 2023

✔ NPI 1063117893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in UT · 13396974-8908

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

910 S 300 W, Blanding, UT 84511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maverik Nicholas Shumway is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395109425

PECOS Enrollment IDI20230907004049

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. STEPHEN BURTON O.D.

Optometrist