Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497862171 Deactivated / Inactive NPI Male Practitioner

Dr. Stanley Timothy Shafer , OD

Optometrist • Dayton, OH

⚠️

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. Stanley Shafer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2006
NPI Deactivation Date March 24, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Shafer, OD was a registered Optometrist practicing in Dayton, OH. Throughout an active medical career spanning 17 years, Dr. Shafer provided care at the practice location at 105 SUGAR CAMP CIR until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

105 Sugar Camp Cir
Ste 200

Dayton, OH 454091962

Telephone 9372223937
Fax 9372235416
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
61 Specialists

Practicing in Dayton, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3089 T646

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1073611877

Doctor of Osteopathic Medicine (D.O.)

NPI 1083716260

Doctor of Medicine (M.D.)

Tracy Winans , COA

Technician/Technologist - Ophthalmic Assistant

NPI 1144454448
Jessica Bowling , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1205188117
Jessica Shockley , COA

Technician/Technologist - Ophthalmic Assistant

NPI 1215299375
Lisa Herold , COT

Technician/Technologist - Ophthalmic

NPI 1265666556

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active November 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2013

Registered at 105 SUGAR CAMP CIR, STE 200, DAYTON, OH 454091962 (Tel: 9372223937)

📍
Updated Business Mailing Address November 21, 2013

Registered at 105 SUGAR CAMP CIR, STE 200, DAYTON, OH 454091962 (Tel: 9372223937)

👤
Provider Name / Credentials Updated November 21, 2013

Recorded as STANLEY SHAFER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2013

Optometrist (License #3089 T646 in OH)

🟢
Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Stanley Shafer. Be the first to share your experience!

Sign in to leave a review for Dr. Stanley Shafer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497862171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: November 21, 2013
Deactivation Date: March 24, 2023

Mailing Address

105 Sugar Camp Cir, Ste 200

Dayton, OH 454091962

Phone: 9372223937

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.