MEDICARE: DR. PHILIP SHAFFER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	18003734A	IN
2	152W00000X	Optometrist	OPT003486	GA

General Provider Information

NPI Number	:	1205188844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP SHAFFER O.D.

Provider Business Mailing Address
First Line	:	1230 BALD RIDGE MARINA RD STE 100
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-7950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 BALD RIDGE MARINA RD STE 100
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-7950
Country	:	US
Telephone Number	:	770-292-1999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	06/13/2024

Similar Medicare Providers

1619825692 — PEYTON MICHAEL HOLLINGSWORTH
Practice Location Address:

1664 MARKET PLACE BLVD
CUMMING, GA
30041-7927

Practice Phone: 470-253-4121
Practice Fax:

1326860446 — GEORGIA MENTAL HEATH CENTER, LLC
Practice Location Address:

8025 MAJORS RD
CUMMING, GA
30041-7056

Practice Phone: 470-835-6695
Practice Fax:

1336602770 — DR. GREGORY PAUL MORGAN MD
Practice Location Address:

1080 SANDERS RD STE 100
CUMMING, GA
30041-8598

Practice Phone: 770-781-8840
Practice Fax: 770-781-8098

1083561096 — NATASHA JOAHN TORRES LATORRE
Practice Location Address:

1664 MARKET PLACE BLVD
CUMMING, GA
30041-7927

Practice Phone: 470-253-4121
Practice Fax:

1780241430 — UJWAL PATEL MD
Practice Location Address:

610 PEACHTREE PKWY STE 130
CUMMING, GA
30041-9778

Practice Phone: 770-205-2804
Practice Fax: 770-205-2854

1073927091 — DR. ROBERT JAMES OWEN M.D.
Practice Location Address:

1505 NORTHSIDE BLVD STE 3100
CUMMING, GA
30041-7623

Practice Phone: 770-977-7777
Practice Fax: 855-283-8851

Directions to “ DR. PHILIP SHAFFER O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.