CAROL ANN SHEKER MAIN (OD) – Optometrist, NPI 1114910536

CAROL ANN SHEKER MAIN (OD) is a healthcare provider. based in Wisconsin rapids, Wisconsin. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 046009797 (IL). The NPI Number for CAROL ANN SHEKER MAIN (OD) is 1114910536

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CAROL ANN SHEKER MAIN (OD)
NPI
1114910536
Phone
(715) 421-2111
Address
1220 PARKWOOD DR
Enumeration Date
31 August 2005
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7154212111
Graduation Year
2005 (21 years ago)
PAC ID
8527092303
Group Practice PAC ID
6709026396
Professional Enrollment ID
I20130808000786
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:20State licenses:4Digital endpointsOther names

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Provider Addresses for CAROL ANN SHEKER MAIN (OD)

  • 1220, Parkwood Drive, Wisconsin Rapids, Wood County, Wisconsin, 54494, United States

    WISCONSIN RAPIDS, WI 544945488

    Phone: (715) 421-2111

    Fax: (715) 421-2123

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-08-08

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
I20130808000786IOptometryWITBD

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 54494)

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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: 6709026396View full group profile
NameSpecialtyState
-WI

Reviews

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Frequently asked questions

What is the standard ID for CAROL ANN SHEKER MAIN (OD) in the U.S.?
In the U.S., CAROL ANN SHEKER MAIN (OD) is identified by NPI 1114910536.
Should I treat CAROL ANN SHEKER MAIN (OD) as an active provider?
Patients and plans typically see CAROL ANN SHEKER MAIN (OD) as active in the national extract.
Which specialty label fits CAROL ANN SHEKER MAIN (OD)?
NPPES ties CAROL ANN SHEKER MAIN (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CAROL ANN SHEKER MAIN (OD)?
CAROL ANN SHEKER MAIN (OD) is associated with Wisconsin Rapids, Wisconsin in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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