NPPES file of Aug 9, 2026

Samuel Jack Shroder, OD

Optometrist · Fairborn, OH

Samuel Jack Shroder, OD is an optometrist with a practice address in Fairborn, Ohio, and NPI 1124982368, issued on Dec 11, 2025. Check the license (Ohio OPT.007484, as entered in NPPES) with the Ohio board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124982368
Name
Samuel Jack Shroder
Credential
OD
Primary taxonomy
Optometrist 152W00000X
License number
OPT.007484 OH
Self-reported in NPPES; status is on the state search
Practice location
1790 Commerce Center Blvd, Fairborn, OH 45324
Phone
(937) 878-3941
Enumerated
Dec 11, 2025
Record last updated
May 18, 2026
Medicare enrollment
Enrolled (PECOS I20260611000365); may accept Medicare assignment
Medical or professional school
Ohio State University - College Of Optometry, 2026
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest optometrist records → All 2,443 in Ohio → Look up another NPI →

Also registered at 1790 Commerce Center Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jerry Neely, ODOptometrist1073666889
  2. Steven Shroder, ODOptometrist1477605293
  3. Elizabeth Snyder, ODOptometrist1104978196

Verify Samuel Jack Shroder in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Ohio board licenses this profession
    Search for license OPT.007484    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Ohio license search

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Samuel Jack Shroder among 2,443 optometrist records in Ohio

Samuel Jack Shroder, OD is one of 2,443 optometrist records with a practice address in Ohio. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 96% of them.

  • NPI issued2025 · 96% of these records are older, 1% newer
  • In a Medicare fileNo · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2026 · median 2006 among the 1,466 with a school on file
  • Record last updated2026 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Ohio

There are 2,443 optometrist records in Ohio. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 2,443 in Ohio → Every provider in Fairborn → Optometrist nationwide →

The 8 optometrist records with the nearest ZIP codes

  1. Jerry Neely, ODFairborn, OH 453241073666889
  2. Kathleen Rudolf, O. D.Beavercreek, OH 453241033349055
  3. Steven Shroder, ODFairborn, OH 453241477605293
  4. Elizabeth Snyder, ODFairborn, OH 453241104978196
  5. Joseph Studebaker, ODEnglewood, OH 453221124022090
  6. James Studebaker, ODEnglewood, OH 453221982608261
  7. Jonathan Tschanz, O.D.Germantown, OH 453271164597266
  8. Angela Cates, ODEaton, OH 453201134191232

Common questions

What is Samuel Jack Shroder, OD's NPI number?

Samuel Jack Shroder, OD's National Provider Identifier (NPI) is 1124982368, issued on Dec 11, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Samuel Jack Shroder, OD located?

The NPPES record lists a practice address at 1790 Commerce Center Blvd, Fairborn, OH, 45324. Phone: (937) 878-3941. Providers update this record themselves, so call before visiting.

How can I verify Samuel Jack Shroder, OD's license?

NPPES lists Ohio license number OPT.007484, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.