DR. MISBAH NUSRAT SHAFIQ (OD) – Optometrist, NPI 1821670183

DR. MISBAH NUSRAT SHAFIQ (OD) is a healthcare provider. based in Albany, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. AT4560 (OR). The NPI Number for DR. MISBAH NUSRAT SHAFIQ (OD) is 1821670183

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MISBAH NUSRAT SHAFIQ (OD)
NPI
1821670183
Phone
(541) 926-5848
Address
2715 Willetta St SW
Enumeration Date
26 April 2021
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
3012774844
Graduation Year
2020 (6 years ago)
PAC ID
9931506581
Group Practice PAC ID
1850462037
Professional Enrollment ID
I20230417001247
Address ID
MD207703551GR7500XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for DR. MISBAH NUSRAT SHAFIQ (OD)

  • 2715 Willetta St SW

    Albany, OR 973213471

    Phone: (541) 926-5848

    Type: Location

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 13505 CONNECTICUT AVE

    ASPEN HILL, MD 209062912

    Phone: (301) 438-0555

    Fax: (301) 438-0556

    Type: Location

  • 2715 WILLETTA ST SW

    ALBANY, OR 973213471

    Phone: (541) 926-5848

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alcon Vision LLC ($112).

Total Amount

$148

General + Research + Ownership

Payments

4

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2023-09-29

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
I20230417001247IOptometryDCTBD
I20230929001264IOptometryMDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97321)

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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: 1850462037View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMD
O P T O M E T R YMD
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YMD
O P T O M E T R YDC
O P H T H A L M O L O G YMD
-MD
-MD
O P T O M E T R YMD

Reviews

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Frequently asked questions

How is DR. MISBAH NUSRAT SHAFIQ (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. MISBAH NUSRAT SHAFIQ (OD) with NPI 1821670183.
Can I rely on DR. MISBAH NUSRAT SHAFIQ (OD) being an active provider?
As of the registry snapshot, DR. MISBAH NUSRAT SHAFIQ (OD) is marked active.
What taxonomy line describes DR. MISBAH NUSRAT SHAFIQ (OD)?
For research purposes, treat DR. MISBAH NUSRAT SHAFIQ (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MISBAH NUSRAT SHAFIQ (OD) on a map?
Expect Albany, Oregon as a primary anchor for DR. MISBAH NUSRAT SHAFIQ (OD) unless the record lists multiple sites.
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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