Shannon R. Chandler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

455 Issued in NV

Practice address

3962 Blue Diamond Rd Ste 105
Las Vegas, NV 89139-7795

Phone

(702) 791-6860

Fax

(702) 791-7028

NPI assigned

Nov 21, 2006

Last updated

Oct 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shannon R. Chandler, CorpGroup PAC ID 8628174364, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Shannon R. Chandler, Corp

  • Optometrist
  • Las Vegas, NV
  • NPI 1194890673
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Doc Inc.

  • Optometrist
  • Las Vegas, NV
  • NPI 1437484896
  NPD (past)
• Summerlin Vision Center Inc

  • Optometrist
  • Las Vegas, NV
  • NPI 1063608313
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1043385511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3962 BLUE DIAMOND RD",
            "address_2": "STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397795",
            "telephone_number": "702-791-6860",
            "fax_number": "702-791-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3962 BLUE DIAMOND RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397795",
            "telephone_number": "702-791-6860",
            "fax_number": "702-791-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SHANNON",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Chandler
• Kelvin D Chandler
• Marice Chandler
• Mary Teresa Chandler, RDH
• Milena Chandler
• Vanessa Chandler
• Anchal Chandra
• Bronwyn Katie Chaney
• Carol Ann Chaney, FNP, PHD NUTRITION
• Corby Chaney

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.