Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan F Shaver, OD

Individual provider Optometrist · NPI 1790764454

Dr. Jonathan F Shaver, OD is an Optometry in Fayetteville, Arkansas. Graduated from Southern College of Optometry in 2004, 22 years ago. Practices with Eye Center PA, an 8-clinician group and accepts Medicare assignment. Licensed in Arkansas and New Mexico.

Years since qualifying
22
Trained at
Southern College of Optometry
Licensed in
AR, NM
In the registry since
2006
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

594 E Millsap
Fayetteville, AR 72703-1345
Phone: (479) 442-2020
Fax: (479) 521-3988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2549 (AR)
Optometrist Taxonomy 152W00000X · Licence 558 (NM)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 2549 (AR)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 2549 (AR)

Record details

NPI number1790764454
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESSeptember 11, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Eye Center Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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