DR. STEVEN H SHAKE (O.D.) – Optometrist, NPI 1922068386

DR. STEVEN H SHAKE (O.D.) is a healthcare provider. based in Owensboro, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1159DT (KY). The NPI Number for DR. STEVEN H SHAKE (O.D.) is 1922068386

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEVEN H SHAKE (O.D.)
NPI
1922068386
Phone
(270) 683-2101
Address
3310 PROFESSIONAL PARK
Enumeration Date
27 March 2006
Last Update Date
27 July 2012

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2708278681
Graduation Year
1989 (37 years ago)
PAC ID
2668363581
Group Practice PAC ID
6204375165
Professional Enrollment ID
I20100616000876
Address ID
KY424202751HE300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for DR. STEVEN H SHAKE (O.D.)

  • 3310 PROFESSIONAL PARK

    SUITE 101

    OWENSBORO, KY 423034551

    Phone: (270) 683-2101

    Fax: (270) 683-2507

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Alcon Vision LLC ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$34
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: 2024-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100616000876IOptometryKYTBD
I20240808002431IOptometryINTBD

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
66984Removal of cataract with insertion of prosthetic lens2,20523$0
92014Established patient complete exam of visual system252252$0
92004New patient complete exam of visual system5252$0
99212Established patient office or other outpatient visit, 10-19 minutes3330$0
View full utilization report →

Insurance plans in this area (ZIP 42303)

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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: 6204375165View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YPA
O P T O M E T R YIN
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YCO

Reviews

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Frequently asked questions

How is DR. STEVEN H SHAKE (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. STEVEN H SHAKE (O.D.) with NPI 1922068386.
Can I rely on DR. STEVEN H SHAKE (O.D.) being an active provider?
As of the registry snapshot, DR. STEVEN H SHAKE (O.D.) is marked active.
What is DR. STEVEN H SHAKE (O.D.)'s specialty?
The listing groups DR. STEVEN H SHAKE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. STEVEN H SHAKE (O.D.) list a practice location?
Patients near Owensboro, Kentucky may find DR. STEVEN H SHAKE (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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