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DR. THEA T. SHEARER O.D.
NPI 1073514204
Optometrist in Richmond, KY

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
5019 ATWOOD DR, RICHMOND, KY 40475(859) 624-2015(859) 624-4415 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thea T. Shearer O.d. NPPES

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

DR. THEA T. SHEARER O.D. (NPI 1073514204) is an individual optometrist in Richmond, Kentucky, licensed in Kentucky (1478DT) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1999).

NPPES Registry Identity

NPI1073514204
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. THEA T. SHEARERCredential: O.D.
Location Address5019 ATWOOD DRRichmond, KY 40475-8898
Mailing Address5019 Atwood DrRichmond, KY 40475-8898 · (859) 624-2015 · Fax (859) 624-4415
Phone(859) 624-2015
Fax(859) 624-4415
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1999
Enumeration DateAugust 10, 2005
Last NPPES UpdateFebruary 7, 2011
✔ NPI 1073514204 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 KY · 1478DT
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.
5019 ATWOOD DR, Richmond, KY 40475
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Other Identifiers 6

Other000000195501KY · Anthem
OtherOP0933KY · Eye Med
Medicare UPINU76354
Medicaid77000388KY
Medicare PINP00879787KY
Medicare PINP400023992KY

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

Dr. Thea T. Shearer O.d. 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 ID7719977909
PECOS Enrollment IDI20040518000874
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

THEA T. SHEARER, OD
Optometrist
5019 ATWOOD DR
RICHMOND, KY 40475
Madison County (859) 624-2015

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 Thea Shearer's NPI number?

The NPI number for Thea Shearer is 1073514204. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Thea Shearer located?

Thea Shearer practices at 5019 Atwood Dr, Richmond, KY 40475. The listed phone number is (859) 624-2015.

What is Thea Shearer's specialty?

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

Is Thea Shearer enrolled in Medicare?

Yes. Thea Shearer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thea Shearer accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Thea Shearer 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 Thea Shearer was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.