Samuel Jack Shroder, OD
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2025
- Practice address
- 1790 Commerce Center Blvd, Fairborn, OH 45324
- Practice phone
- Call (937) 878-3941
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
The Fairborn Vision Center
Eye care practice · Fairborn, Ohio
Find Samuel Shroder's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Samuel Jack Shroder is an optometrist in Fairborn, Ohio
Samuel Shroder practices at The Fairborn Vision Center in Fairborn, Ohio.
Samuel Shroder's NPI, 1124982368, was assigned on December 11, 2025. Samuel Shroder holds Ohio license OPT.007484.
- NPI
- 1124982368NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4688145931
- NPI enumeration date
- December 11, 2025
- NPI status
- Active
- Practice phone
- (937) 878-3941
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Samuel Jack Shroder practices at The Fairborn Vision Center in Fairborn, Ohio
Samuel Shroder's primary practice is The Fairborn Vision Center, at 1790 Commerce Center Blvd, Fairborn, OH 45324. The practice phone is (937) 878-3941.
- The Fairborn Vision Center1790 Commerce Center Blvd, Fairborn, OH 45324Phone(937) 878-3941
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Samuel Jack Shroder is affiliated with 1 site of care and 1 medical group
Samuel Shroder's primary practice is The Fairborn Vision Center in Fairborn, Ohio. Dmand AI also links Samuel Shroder to 1 medical group, named with a free account.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Samuel Jack Shroder's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Samuel Shroder practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| The Fairborn Vision Center | Available with a free account |
| +1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Samuel Jack Shroder is one of 2,779 optometrists in Ohio
Optometrist is Samuel Shroder's primary specialty in the NPI Registry, under taxonomy code 152W00000X. Samuel Shroder is licensed in Ohio.
Specialties and state licenses
- Optometrist, OhioPrimary
Optometrists near Samuel Shroder
Counts of optometrists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Sources for Samuel Jack Shroder's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Samuel Jack Shroder
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Samuel Jack Shroder's NPI number?
Samuel Jack Shroder's NPI number is 1124982368. It was assigned on December 11, 2025, and it is active in the NPI Registry.
What does Samuel Jack Shroder specialize in?
Samuel Jack Shroder is an optometrist in Fairborn, Ohio. The primary specialty in the NPI Registry is Optometrist (taxonomy code 152W00000X).
Where does Samuel Jack Shroder practice?
Samuel Shroder practices at 1790 Commerce Center Blvd, Fairborn, OH 45324. Samuel Shroder's primary practice is The Fairborn Vision Center in Fairborn, Ohio. Dmand AI also links Samuel Shroder to 1 medical group.
What is Samuel Jack Shroder's office phone number?
The practice phone on file for Samuel Shroder is (937) 878-3941.
What is Samuel Jack Shroder's medical license number?
Samuel Shroder holds Ohio license OPT.007484.
How long has Samuel Jack Shroder been practicing?
Samuel Shroder's NPI was assigned in 2025.
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