Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639148513 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald Henry Shepard , OD

Optometrist • Eugene, OR

⚠️

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. Gerald Shepard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2006
NPI Deactivation Date May 28, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Shepard, OD was a registered Optometrist practicing in Eugene, OR. Throughout an active medical career spanning 20 years, Dr. Shepard provided care at the practice location at 4550 W 11TH AVE until profile deactivation on 2026-05-28.

Practice Location & Contact Primary Location

Practice Address

4550 W 11th Ave

Eugene, OR 974025414

Telephone 5413443440
Fax 5413443442
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1598782641

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.3 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
50 Specialists

Practicing in Eugene, OR (975 Statewide)

Telehealth Adoption Rate
2.0% 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 OR 2030AT

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

2 Associated Practitioners
Amanda Mayhew

Technician/Technologist - Optician

NPI 1235983354
NPI 1982381398

Career & Practice History Timeline

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

8 Historical Events
⚠️
NPI Profile Deactivated May 28, 2026

Record deactivated on May 28, 2026

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2026

Optometrist (License #2030AT in OR)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4550 W 11TH AVE, EUGENE, OR 974025414 (Tel: 5413443440)

📍
Updated Business Mailing Address July 09, 2007

Registered at 90161 LAKEVIEW DR, EUGENE, OR 974029424 (Tel: 5414614948)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GERALD SHEPARD, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #2030AT in OR)

🟢
Initial NPI Registration & Enumeration March 14, 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. Gerald Shepard. Be the first to share your experience!

Sign in to leave a review for Dr. Gerald Shepard

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

NPI Administrative Meta

NPI Number: 1639148513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: July 09, 2007
Deactivation Date: May 28, 2026

Mailing Address

90161 Lakeview Dr

Eugene, OR 974029424

Phone: 5414614948

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.