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DR. LES ALAN SHIPLEY OD
NPI 1225011653
Optometrist in Santa Rosa, CA

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
1430 GUERNEVILLE RD, STE 3, SANTA ROSA, CA 95403(707) 525-9920(707) 525-0844 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Les Alan Shipley Od NPPES

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

DR. LES ALAN SHIPLEY OD (NPI 1225011653) is an individual optometrist in Santa Rosa, California, licensed in California (5775T) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1974).

NPPES Registry Identity

NPI1225011653
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LES ALAN SHIPLEYCredential: OD
Location Address1430 GUERNEVILLE RD, STE 3Santa Rosa, CA 95403
Mailing Address1430 Guerneville Rd, Ste 3Santa Rosa, CA 95403 · (707) 525-9920 · Fax (707) 525-0844
Phone(707) 525-9920
Fax(707) 525-0844
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1974
Enumeration DateNovember 21, 2005
Last NPPES UpdateMay 18, 2015
✔ NPI 1225011653 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 CA · 5775T
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.
1430 GUERNEVILLE RD, Santa Rosa, CA 95403
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Other Identifiers 4

Medicare UPINT10113
Medicare ID-Type UnspecifiedSD0057750
Medicare NSC0475120001CA
MedicaidSD0057750CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Les Alan Shipley Od 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 ID6800973215
PECOS Enrollment IDI20080409000772
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 8

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
206 services185 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
159 services137 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
71 services66 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
68 services43 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
33 services14 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

DR. SHIPLEY & ASSOCIATES
Optometrist
1430 GUERNEVILLE RD
SANTA ROSA, CA 95403
Sonoma County (707) 525-9920

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 Les Shipley's NPI number?

The NPI number for Les Shipley is 1225011653. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Les Shipley located?

Les Shipley practices at 1430 Guerneville Rd Ste 3, Santa Rosa, CA 95403. The listed phone number is (707) 525-9920.

What is Les Shipley's specialty?

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

Is Les Shipley enrolled in Medicare?

Yes. Les Shipley 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 Les Shipley accept?

Health plans from Providence Health Plan list Les Shipley 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 Les Shipley was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.