DR. MICHAEL JAMES SHIEMBOB (OD) – Optometrist, NPI 1225087000
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 OPTOMETRY in CT
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Provider Addresses for DR. MICHAEL JAMES SHIEMBOB (OD)
226, Forest Drive, Griswoldville, Wethersfield, Capitol Planning Region, Connecticut, 06109, United States
WETHERSFIELD, CT 06109
Phone: (860) 529-1132
Type: Mailing
The Fresh Market, 315, West Main Street, Avon, Capitol Planning Region, Connecticut, 06001, United States
AVON, CT 06001
Phone: (860) 678-3937
Fax: (860) 678-7217
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170109002890 | I | Optometry | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 46 | 45 | $0 |
| 92012 | Established patient problem focused exam of visual system | 36 | 26 | $0 |
| 92250 | Photography of the retina | 18 | 17 | $0 |
| 92083 | Exam of visual field with extended testing | 16 | 13 | $0 |
Insurance plans in this area (ZIP 06109)
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