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

Dr. Philip Shaffer, OD

Individual provider Optometrist · NPI 1205188844

Dr. Philip Shaffer, OD is an Optometrist in Cumming, Georgia. Licensed in Georgia and Indiana. Registered with an NPI since 2012.

Licensed in
GA, IN
In the registry since
2012
Specialties on file
2
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

1230 Bald Ridge Marina Rd Ste 100
Cumming, GA 30041-7950
Phone: (770) 292-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT003486 (GA)
Optometrist Taxonomy 152W00000X · Licence 18003734A (IN)

Record details

NPI number1205188844
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 5, 2012
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address1230 Bald Ridge Marina Rd Ste 100, Cumming, GA 30041-7950

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