JERRY N. SHUSTER, MD
NPI 1770665051
Specialist in Maitland, FL

Active since October 19, 2006
790 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751(407) 767-6411 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry N. Shuster, Md NPPES

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

JERRY N. SHUSTER, MD (NPI 1770665051) is a healthcare organization registered as a specialist in Maitland, Florida and active in the NPI registry since October 2006. The organization lists Jerry N Shuster, Ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1770665051
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJERRY N. SHUSTER, MD
Location Address790 CONCOURSE PKWY S, SUITE 200Maitland, FL 32751-6114
Mailing Address3030 Lake Shore DrOrlando, FL 32803-1122
Organization SubpartNo
Authorized OfficialJerry N ShusterOphthalmologist · (407) 767-6411
Enumeration DateOctober 19, 2006
Last NPPES UpdateJanuary 17, 2012
NPI 1770665051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · 35948
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
790 CONCOURSE PKWY S, Maitland, FL 32751

Other Identifiers 3

Medicaid067967400FL
Medicare PIN35195FL
Medicare UPIND54357FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Glaucoma Specialist)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Neuro-ophthalmology)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Pediatrics
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
790 CONCOURSE PKWY S, STE. 200
MAITLAND, FL 32751
Audiologist
790 CONCOURSE PKWY S, STE. 110
MAITLAND, FL 32751
Optometrist
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751

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 Jerry N. Shuster, MD's NPI number?

The NPI number for Jerry N. Shuster, MD is 1770665051. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Jerry N. Shuster, MD located?

Jerry N. Shuster, MD is located at 790 Concourse Pkwy S Suite 200, Maitland, FL 32751. The listed phone number is (407) 767-6411.

What is Jerry N. Shuster, MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerry N. Shuster, MD was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.