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Deactivated NPI 1215932652 Deactivated / Inactive NPI Male Practitioner

Dr. Kaleel James Shaheen , OD

Optometrist • Canton, OH

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kaleel Shaheen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~34 Years of Practice (1972 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Kaleel Shaheen, OD was a registered Optometrist in Canton, OH. Prior to record deactivation on 2006-03-17, Dr. Shaheen completed approximately 34 years of clinical practice following graduation from Ohio State University - College Of Optometry in 1972.

Dr. Shaheen was affiliated with Hills And Dales Vision Inc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4555 Hills And Dales Rd Nw

Canton, OH 447081507

Telephone 3304788996
Fax 3304789987
Associated Practice Facility / Clinic
🏢 Hills & Dales Vision Inc Facility NPI 1356547889

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Canton, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
54 Yrs +24.9 yrs vs City Avg
City Avg: 29.1 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
33 Specialists

Practicing in Canton, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaheen (54 Years) 54 Yrs
Canton Specialty Average (29.1 Years) 29.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
45 45 $100.00 $98.65

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3044T647

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0197675 (OH)

Hospital & Practice Group Affiliations

Hills And Dales Vision Inc

4555 Hills And Dales Rd Nw, Canton, OH 447081507

Hills And Dales Vision Inc

4555 Hills And Dales Rd Nw, Canton, OH 447081507

Phone: 3304788996

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1659504173

Doctor of Optometry

NPI 1922402130

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location April 04, 2008

Registered at 4555 HILLS AND DALES RD NW, CANTON, OH 447081507 (Tel: 3304788996)

📍
Updated Business Mailing Address April 04, 2008

Registered at 4555 HILLS AND DALES RD NW, CANTON, OH 447081507 (Tel: 3304788996)

👤
Provider Name / Credentials Updated April 04, 2008

Recorded as KALEEL SHAHEEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2008

Optometrist (License #3044T647 in OH)

🔄
NPI Profile Reactivated March 23, 2006

Record officially reactivated for active practice on March 23, 2006

⚠️
NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢
Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215932652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: April 04, 2008
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

4555 Hills And Dales Rd Nw

Canton, OH 447081507

Phone: 3304788996

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.