DR. KORY LYNN SHAW (OD) – Optometrist, NPI 1750996740
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 OPTOMETRY in ID
Provider Addresses for DR. KORY LYNN SHAW (OD)
180 1st Ave North
Ketchum, ID 833406129
Phone: (208) 726-0138
Fax: (208) 726-3363
Type: Location
110 N 1st Ave
Hailey, ID 833338913
Phone: (208) 788-4120
Fax: (208) 788-3571
Type: Location
201 S Lincoln Ave
Jerome, ID 833382624
Phone: (208) 324-4363
Fax: (208) 324-8948
Type: Location
844 SHOSHONE ST E
TWIN FALLS, ID 833016336
Phone: (208) 734-9800
Fax: (208) 734-9433
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $185.
Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: CooperVision Inc. ($92).
Total Amount
$185
General + Research + Ownership
Payments
5
Total payment records
General Amount
$185
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $92 |
| Bausch & Lomb Americas Inc. | $54 |
| Optos, Inc. | $40 |
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: 2022-02-10
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 |
|---|---|---|---|---|
| I20220210002966 | I | Optometry | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | ID | |
| O P T O M E T R Y | ID | |
| - | ID | |
| O P T O M E T R Y | ID | |
| - | ID |
Reviews
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