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

Jonathan Shader, DO

Individual provider Ophthalmology Physician · NPI 1689038986

Jonathan Shader, DO is an Ophthalmology in Lake Havasu City, Arizona. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Georgia.

Years since qualifying
8
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
AZ, GA
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

297 Lake Havasu Ave S Ste 204
Lake Havasu City, AZ 86403-6526
Phone: (928) 490-2121
Show map & directions

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

Additional practice locations (1)

  • 1120 15th St # Ba-2720, Augusta, GA 30912-3983 — (706) 721-1160

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 010033 (AZ)
Ophthalmology Physician Taxonomy 207W00000X · Licence 10760 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689038986
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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