Individual provider Active NPI

John Michael Shields, O.D.

  • Optometrist
  • Lower Burrell, PA
National Provider Identifier
1013229418
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002370 Issued in PA
Practice address
2800 Leechburg Rd
Lower Burrell, PA 15068-2527
Phone
(724) 335-7799
Fax
(724) 335-7794
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002370 PA Primary

Addresses

Primary practice location

2800 Leechburg Rd
Lower Burrell, PA 15068-2527

Mailing address

2800 Leechburg Rd
Lower Burrell, PA 15068-2527
Phone (724) 335-7799

Other identifiers 1

IdentifierTypeStateIssuer
1026219810001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000890 PA Practitioner - Optometry 6507049764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2849 Leechburg Rd
Suite 1
Lower Burrell, PA 15068-2541
Phone (724) 335-7799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Eye Associates LLC Optometrist CurrentSince Mar 1, 2015 Accepting new patients

Locations

2800 Leechburg Rd
Lower Burrell, PA 15068
Phone (724) 335-7799

2849 Leechburg Rd
New Kensington, PA 15068
Phone (724) 335-7799

2849 Leechburg Rd
#1
New Kensington, PA 15068
Phone (724) 335-7799

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1013229418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682527",
            "telephone_number": "724-335-7799",
            "fax_number": "724-335-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682527",
            "telephone_number": "724-335-7799",
            "fax_number": "724-335-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026219810001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

Verify at the official NPI Registry.