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Deactivated NPI 1588671408 Deactivated / Inactive NPI Male Practitioner

Dr. Virgil Jerry Shepherd , MD

Ophthalmology • Edmond, OK

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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. Virgil Shepherd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2006
NPI Deactivation Date August 23, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Virgil Shepherd, MD was a registered Ophthalmology practicing in Edmond, OK. Throughout an active medical career spanning 15 years, Dr. Shepherd provided care at the practice location at 3431 S BOULEVARD until profile deactivation on 2021-08-23.

Practice Location & Contact Primary Location

Practice Address

3431 S Boulevard
Suite 106

Edmond, OK 73013

Telephone 4055622036
Fax 4055622116
Associated Practice Facility / Clinic
🏢 Boulevard Family Clinic Llc Facility NPI 1760774814

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 30.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Edmond, OK (217 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

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OK OK7344

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1124088067

Doctor of Medicine (M.D.)

NPI 1447570676

Doctor of Medicine (M.D.)

NPI 1508489956

Doctor of Medicine (M.D.)

NPI 1730476730

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 23, 2021

Record deactivated on August 23, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3431 S BOULEVARD, SUITE 106, EDMOND, OK 73013 (Tel: 4055622036)

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Updated Business Mailing Address July 08, 2007

Registered at 3431 S BOULEVARD, SUITE 106, EDMOND, OK 73013 (Tel: 4055622036)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VIRGIL SHEPHERD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #OK7344 in OK)

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Initial NPI Registration & Enumeration August 02, 2006

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: 1588671408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Deactivation Date: August 23, 2021

Mailing Address

3431 S Boulevard, Suite 106

Edmond, OK 73013

Phone: 4055622036

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.