SHANNON MARIE BUCKMASTER (OD) – Optometrist, NPI 1346234275
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHANNON MARIE BUCKMASTER (OD)
Southwest Roy Rogers Road, Six Corners, Sherwood, Metro, Washington County, Oregon, 97140-9205, United States
SUITE 125
SHERWOOD, OR 971409932
Phone: (503) 625-0733
Fax: (503) 925-9733
Type: Mailing
1495 S BLACK RIDGE DR STE A270
ST GEORGE, UT 847707174
Phone: (503) 329-1696
Type: Location
5794 S AMBER RIDGE DR
SAINT GEORGE, UT 847901948
Phone: (503) 329-1696
Fax: (503) 925-9733
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: 2022-08-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150424000357 | I | Optometry | OR | TBD |
| I20220825003876 | I | Optometry | UT | 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 97140)
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