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

Jackson Cade Shetlar, OD

Individual provider Optometrist · NPI 1205674389

Jackson Cade Shetlar, OD is an Optometry in Salina, Kansas. Qualified in 2024, 2 years ago. Practices with Drs Driver and Clark PA, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024
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

1601 E Iron Ave
Salina, KS 67401-3237
Phone: (785) 825-4679
Fax: (785) 825-5898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 W 2nd St, Minneapolis, KS 67467-2315 — (785) 392-2126

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2231 (KS)

Record details

NPI number1205674389
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address1601 E Iron Ave, Salina, KS 67401-3237

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Drs Driver And Clark Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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