DR. SHANE LEE CLABORN (O.D.) – Optometrist, NPI 1962667055

DR. SHANE LEE CLABORN (O.D.) is a healthcare provider. based in Lawton, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2552 (OK). The NPI Number for DR. SHANE LEE CLABORN (O.D.) is 1962667055

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE LEE CLABORN (O.D.)
NPI
1962667055
Phone
(580) 248-0061
Address
4250 NW CACHE RD
Enumeration Date
28 July 2008
Last Update Date
4 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802480061
Graduation Year
2008 (18 years ago)
PAC ID
3173681293
Group Practice PAC ID
0840294120
Professional Enrollment ID
I20081018000087
Address ID
OK735053606LA4250XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for DR. SHANE LEE CLABORN (O.D.)

  • 4250, Northwest Cache Road, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 735053606

    Phone: (580) 248-0061

    Fax: (580) 248-0074

    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 12 Open Payments records for all available years, with a total value of $356.

Total Amount is formed as General ($356) + Research ($0) + Ownership ($0) = $356.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($189).

Total Amount

$356

General + Research + Ownership

Payments

12

Total payment records

General Amount

$356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2008-10-18

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
I20081018000087IOptometryOKTBD

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 system271267$0
99213Established patient office or other outpatient visit, 20-29 minutes10683$0
92250Photography of the retina9692$0
92004New patient complete exam of visual system6969$0
92083Exam of visual field with extended testing4846$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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Provider's Procedures

DR. SHANE LEE CLABORN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOK92083Measurement of field of vision during daylight conditions2623

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: 0840294120View full group profile
NameSpecialtyState
O P T O M E T R YOK
-OK
O P T O M E T R YOK
O P T O M E T R YOK
O P T O M E T R YKY
O P T O M E T R YOK
O P T O M E T R YOK
O P T O M E T R YOK

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SHANE LEE CLABORN (O.D.)'s NPI?
Yes. DR. SHANE LEE CLABORN (O.D.) is listed with NPI 1962667055 in the public NPI dataset.
Does the file indicate DR. SHANE LEE CLABORN (O.D.) is practicing under active NPI?
Directory data currently reports DR. SHANE LEE CLABORN (O.D.) as active.
What taxonomy line describes DR. SHANE LEE CLABORN (O.D.)?
For research purposes, treat DR. SHANE LEE CLABORN (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. SHANE LEE CLABORN (O.D.) based?
DR. SHANE LEE CLABORN (O.D.) is tied to Lawton, Oklahoma in the data we show; additional addresses may exist on the full record.
Is the information about DR. SHANE LEE CLABORN (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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