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

Dr. Kory Lynn Shaw, OD

Individual provider Optometrist · NPI 1750996740

Dr. Kory Lynn Shaw, OD is an Optometry in Twin Falls, Idaho. Graduated from Southern California College of Optometry in 2020, 6 years ago. Practices with Eyecenter PA, a 4-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Trained at
Southern California College of Optometry
Licensed in
ID
In the registry since
2020
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

844 Shoshone St E
Twin Falls, ID 83301-6336
Phone: (208) 734-9800
Fax: (208) 734-9433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 110 N 1st Ave, Hailey, ID 83333-8913 — (208) 788-4120
  • 201 S Lincoln Ave, Jerome, ID 83338-2624 — (208) 324-4363
  • 180 1st Ave North, Ketchum, ID 83340-6129 — (208) 726-0138

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP100509 (ID)

Record details

NPI number1750996740
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 14, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Eyecenter Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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