ROBERT SHANNON WEBSTER (O.D.) – Optometrist, NPI 1306852355

ROBERT SHANNON WEBSTER (O.D.) is a healthcare provider. based in Port st john, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3671 (FL). The NPI Number for ROBERT SHANNON WEBSTER (O.D.) is 1306852355

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT SHANNON WEBSTER (O.D.)
NPI
1306852355
Phone
(321) 639-0910
Address
3720 Curtis Blvd Ste 106-108
Enumeration Date
31 July 2006
Last Update Date
24 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3516390910
Graduation Year
2000 (26 years ago)
PAC ID
1759366404
Group Practice PAC ID
0143541037
Professional Enrollment ID
I20040618000749
Address ID
FL329273961PO3720XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for ROBERT SHANNON WEBSTER (O.D.)

  • 3720 Curtis Blvd Ste 106-108

    Port St John, FL 329273961

    Phone: (321) 639-0910

    Fax: (321) 635-9227

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 171, South Central Avenue, Oviedo, Seminole County, Florida, 32765, United States

    OVIEDO, FL 327659027

    Phone: (407) 365-7475

    Fax: (407) 365-6919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $560.

Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($285).

Total Amount

$560

General + Research + Ownership

Payments

14

Total payment records

General Amount

$560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040618000749IOptometryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4040$0
92004New patient complete exam of visual system1414$0
92250Photography of the retina1312$0
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 32927)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143541037View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL
-VA
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What unique ID ties claims to ROBERT SHANNON WEBSTER (O.D.)?
NPI 1306852355 is assigned to ROBERT SHANNON WEBSTER (O.D.) under the national enumeration system.
Is ROBERT SHANNON WEBSTER (O.D.) currently active in the NPI registry?
CMS-published data lists ROBERT SHANNON WEBSTER (O.D.) as an active registrant.
Does ROBERT SHANNON WEBSTER (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for ROBERT SHANNON WEBSTER (O.D.). Clinical services aligned with this taxonomy classification.
Where is ROBERT SHANNON WEBSTER (O.D.)'s primary listing?
We display Port St John, Florida because that is what the record indicates for ROBERT SHANNON WEBSTER (O.D.).
Is ROBERT SHANNON WEBSTER (O.D.) a real provider?
This page reflects official NPPES data for NPI 1306852355. Always confirm identity and privileges with the practice and licensing boards.

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