DR. MICHAEL JAMES SHIEMBOB OD
NPI 1225087000
Optometrist in Avon, CT
About Dr. Michael James Shiembob Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JAMES SHIEMBOB OD (NPI 1225087000) is an individual optometrist in Avon, Connecticut, licensed in Connecticut (002536) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael James Shiembob 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Shiembob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Meriden, CT 06450
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michael Shiembob's NPI number?
The NPI number for Michael Shiembob is 1225087000. It was assigned to this individual provider in the NPPES registry on May 9, 2006.
Where is Michael Shiembob located?
Michael Shiembob practices at 315 West Main Street, Avon, CT 06001. The listed phone number is (860) 678-3937.
What is Michael Shiembob's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michael Shiembob enrolled in Medicare?
Yes. Michael Shiembob 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.
Which organization bills Medicare for Michael Shiembob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shiembob reassigns Medicare benefits to Premier Eyecare Of Meriden LLC. (Meriden, CT). The 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 Michael Shiembob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Shiembob accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Michael Shiembob 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 Michael Shiembob was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Michael James Shiembob, OD · NPI 1225087000
Optometrist provider in Avon, Connecticut. Individual provider, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1225087000 (Entity type: Individual)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 002536 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 WEST MAIN STREET, Avon, CT 06001
- **Phone:** (860) 678-3937 · **Fax:** (860) 678-7217
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Premier Eyecare Of Meriden LLC. (NPI 1801330691, Meriden, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225087000) · Data from the CMS NPPES public registry.