Katelyn Shea, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3185 Issued in TN

Practice address

5323 Mt View Rd
Antioch, TN 37013-2805

Phone

(615) 731-8900

NPI assigned

Jul 10, 2014

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 TN

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

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cool Springs Eyecare PLLCGroup PAC ID 8921193285, 7 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Cool Springs Eyecare, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1104968817
  Medicare reassignment Care Compare group NPD
• Donelson Eyecare, PLLC

  • Optometrist
  • Nashville, TN
  • NPI 1548302854
  Medicare reassignment NPD
• Eyecare Plus GH PLLC

  • Optometrist
  • Nashville, TN
  • NPI 1578517405
  Medicare reassignment NPD
• Eyecare Plus HH, PLLC

  • Optometrist
  • Antioch, TN
  • NPI 1174500714
  Medicare reassignment NPD
• Eyecare Plus MB PLLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1043684293
  Medicare reassignment NPD
• Eyecare Plus Ca,PLLC

  • Optometrist
  • Columbia, TN
  • NPI 1790732519

  TN

  Medicare reassignment
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289
  NPD
• C&V Opticals,Inc.

  • Optician
  • Tullahoma, TN
  • NPI 1750418000
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1053727099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MOUNT VIEW ROAD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132308",
            "telephone_number": "615-731-8900",
            "fax_number": "615-731-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 MT VIEW RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132805",
            "telephone_number": "615-731-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292759",
            "country_code": "US",
            "telephone_number": "615-601-3888",
            "fax_number": "615-671-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 Wilma Rudolph Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406879",
            "country_code": "US",
            "telephone_number": "931-551-3031",
            "fax_number": "931-552-7488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 S James Campbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-540-0700",
            "fax_number": "931-540-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 White Bridge Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372093208",
            "country_code": "US",
            "telephone_number": "615-671-6365",
            "fax_number": "615-356-5304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Merylinger Ct",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676417",
            "country_code": "US",
            "telephone_number": "615-771-0506",
            "fax_number": "615-771-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "386 W Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370753350",
            "country_code": "US",
            "telephone_number": "615-338-3602",
            "fax_number": "615-338-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Glen Echo Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152805",
            "country_code": "US",
            "telephone_number": "615-298-2669",
            "fax_number": "615-298-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "KATELYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seven Springs Orthopaedics and Sports Medicine
• Seven Springs Orthopaedics, PC
• Matthew Ryan Sevier, MSN
• Brittany Covington Shannon, APRN
• Bashir Sharif
• Shera Thiele
• Derrick Sherrill
• Sianeh, LLC
• Silver Plate
• Christopher Dale Simmons, COTA/L

• All providers in Antioch, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.