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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

QUENTIN SHAW OD
NPI 1174443725
Optometrist in Wichita, KS

Active since July 15, 2026PECOS Enrolled
3333 N RIDGE RD, WICHITA, KS 67205(316) 201-4600 Get Directions Write a Review

NPPES record added: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Quentin Shaw Od NPPES

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

QUENTIN SHAW OD (NPI 1174443725) is an individual optometrist in Wichita, Kansas, licensed in Kansas (2282) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174443725
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameQUENTIN SHAWCredential: OD
Location Address3333 N RIDGE RDWichita, KS 67205-1203
Mailing Address12106 W Autumn Ridge CtWichita, KS 67235-9725 · (785) 829-1814
Phone(316) 201-4600
Sole ProprietorNo
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1174443725 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 KS · 2282
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.
3333 N RIDGE RD, Wichita, KS 67205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quentin Shaw Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 67205 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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 Quentin Shaw's NPI number?

The NPI number for Quentin Shaw is 1174443725. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Quentin Shaw located?

Quentin Shaw practices at 3333 N Ridge Rd, Wichita, KS 67205. The listed phone number is (316) 201-4600.

What is Quentin Shaw's specialty?

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

Is Quentin Shaw enrolled in Medicare?

Yes. Quentin Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Quentin Shaw was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.