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DR. SHAUNA LEE ZEMKEN OD
NPI 1568423861
Optometrist in Johnstown, NY

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
86 BRIGGS ST, JOHNSTOWN, NY 12095(518) 736-1081(518) 736-1082 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shauna Lee Zemken Od NPPES

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

DR. SHAUNA LEE ZEMKEN OD (NPI 1568423861) is an individual optometrist in Johnstown, New York, licensed in New York (TUV0055261) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1993).

NPPES Registry Identity

NPI1568423861
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHAUNA LEE ZEMKENCredential: OD
Location Address86 BRIGGS STJohnstown, NY 12095-1566
Mailing Address86 Briggs StJohnstown, NY 12095-1566 · (518) 736-1081 · Fax (518) 736-1082
Phone(518) 736-1081
Fax(518) 736-1082
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1993
Enumeration DateMarch 28, 2006
Last NPPES UpdateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1568423861 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 NY · TUV0055261
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.
86 BRIGGS ST, Johnstown, NY 12095
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Other Names 1

Professional Name (2)Dr. Shauna Glenn Zemken Od

Other Identifiers 6

Other59133NY · Mvp
OtherC4A65Ebcbs
Other000405482001Bsnny
Medicaid01492800NY
Other10006286NY · Cdphp
Other107448Bcbsuw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Shauna Lee Zemken 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 ID547382053
PECOS Enrollment IDI20110127000801
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 4

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 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.
23 services16 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.
22 services22 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.
17 services15 patients
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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12095 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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. KAREN H. MILLER II D.C.
Chiropractor
86 BRIGGS ST, SUITE 6
JOHNSTOWN, NY 12095
Fulton County (518) 736-2225

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 Shauna Zemken's NPI number?

The NPI number for Shauna Zemken is 1568423861. It was assigned to this individual provider in the NPPES registry on March 28, 2006. The provider is also known as Dr. Shauna Glenn Zemken Od.

Where is Shauna Zemken located?

Shauna Zemken practices at 86 Briggs St, Johnstown, NY 12095. The listed phone number is (518) 736-1081.

What is Shauna Zemken's specialty?

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

Is Shauna Zemken enrolled in Medicare?

Yes. Shauna Zemken 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 Shauna Zemken accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Shauna Zemken 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 Shauna Zemken was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.