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Deactivated NPI 1871699017 Deactivated / Inactive NPI Male Practitioner

Wayne H Shepard

Technician/Technologist - Optician • Vancouver, WA

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

Registration / Start Date September 15, 2006
NPI Deactivation Date July 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Wayne Shepard was a registered Technician/Technologist - Optician practicing in Vancouver, WA. Throughout an active medical career spanning 20 years, Wayne Shepard provided care at the practice location at 12607 SE MILL PLAIN BLVD until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

12607 Se Mill Plain Blvd
Cascade Park Medical Office

Vancouver, WA 986846055

Telephone 3604186001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Vancouver, WA (153 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

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License WA DO00001507

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Imogen Kane

Student in an Organized Health Care Education/Training Program

NPI 1003583469
NPI 1003922279

Doctor of Medicine (M.D.)

Margaret Stulbarg , MSSW

Counselor - Mental Health

NPI 1053427278
NPI 1063669539

Doctor of Medicine (M.D.)

Margaret De La Vergne

Nurse Practitioner - Pediatrics

NPI 1073190005
Joseph Kann , PA-C

Physician Assistant - Medical

NPI 1093807513

Physician Assistant (Certified)

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 July 23, 2026

Record deactivated on July 23, 2026

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 12607 SE MILL PLAIN BLVD, CASCADE PARK MEDICAL OFFICE, VANCOUVER, WA 986846055 (Tel: 3604186001)

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Updated Business Mailing Address July 08, 2007

Registered at 23414 NE 139TH LOOP, BRUSH PRAIRIE, WA 986069624 (Tel: 3608965153)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE SHEPARD

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

Technician/Technologist (License #DO00001507 in WA)

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Initial NPI Registration & Enumeration September 15, 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: 1871699017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: July 08, 2007
Deactivation Date: July 23, 2026

Mailing Address

23414 Ne 139th Loop

Brush Prairie, WA 986069624

Phone: 3608965153

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

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