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SHIELDS AND SHIELDS PC
NPI 1063501526
Ophthalmology in Philadelphia, PA

Active since October 12, 2006CLIA 39D2177610 · Waiver
840 WALNUT STREET, SUITE 1440, PHILADELPHIA, PA 19107(215) 928-3105(215) 928-1140 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shields And Shields Pc NPPES

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

SHIELDS AND SHIELDS PC (NPI 1063501526) is a healthcare organization registered as an ophthalmology in Philadelphia, Pennsylvania and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2028 and lists Jerry A Shields, Director, as its authorized official.

NPPES Registry Identity

NPI1063501526
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSHIELDS AND SHIELDS PC
Location Address840 WALNUT STREET, SUITE 1440Philadelphia, PA 19107
Mailing Address840 Walnut Street, Suite 1440Philadelphia, PA 19107 · (215) 928-3105 · Fax (215) 928-1140
Phone(215) 928-3105
Fax(215) 928-1140
Organization SubpartNo
Authorized OfficialJerry A ShieldsDirector · (215) 928-3105
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1063501526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X
840 WALNUT STREET, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 1

Medicaid0017615000005PA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shields And Shields Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shields And Shields PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sara Lally, MD
Ophthalmology
NPI 1922295138
840 WALNUT STREET SUITE 1440
Philadelphia, PA 19107
(215) 928-3105
✔ PECOS✔ Accepts MedicareSame address
Carol Shields, MD
Ophthalmology
NPI 1578652988
840 WALNUT STREET SUITE 1440
Philadelphia, PA 19107
(215) 928-3105
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2177610

Shields And Shields, PC · Philadelphia, PA
Active · expires Jan 14, 2028
CLIA Number39D2177610
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorDr. Carol L. Shields
Laboratory Phone(215) 928-3438
Laboratory LocationShields And Shields, PC840 Walnut St, Suite 1440, Philadelphia, PA 19107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Shields And Shields PC's NPI number?

The NPI number for Shields And Shields PC is 1063501526. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Shields And Shields PC located?

Shields And Shields PC is located at 840 Walnut Street Suite 1440, Philadelphia, PA 19107. The listed phone number is (215) 928-3105.

What is Shields And Shields PC's specialty?

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

Is Shields And Shields PC enrolled in Medicare?

Yes. Shields And Shields PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shields And Shields PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Shields And Shields PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shields And Shields PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2177610) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shields And Shields PC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.