Individual provider Active NPI

Shannon Gabriela Ardaiolo, O.D.

  • Optometrist
  • Cherokee, NC
National Provider Identifier
1063677847
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2267 Issued in NC
Practice address
1 Hospital Road
Cherokee, NC 28719
Phone
(828) 497-9163
NPI assigned
Jul 22, 2008
Last updated
Dec 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2666 CO
Optometrist 152W00000X 2267 NC Primary

Addresses

Primary practice location

1 Hospital Road
Cherokee, NC 28719

Mailing address

283 Bear Creek Rd
Asheville, NC 28806-1635
Phone (803) 517-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180228002552 NC Practitioner - Optometry 0345301065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asheville Eye Associates PLLCGroup PAC ID 2466405808, 23 clinicians

Practice addresses (Care Compare)

8 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 258-1586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2666COMDPsychologist
2267NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Eye Associates PLLC CurrentSince Mar 1, 2018 Accepting new patients
Allergy Partners, PLLC Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

2001 Hendersonville Rd
Asheville, NC 28803
Phone (828) 684-2867

8 Medical Park Dr
Asheville, NC 28803
Phone (828) 210-2020

2311 Asheville Hwy
Hendersonville, NC 28791

Interoperability endpoints

  • Direct secure messaging: sardaiolo@aea.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1063677847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 BEAR CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061635",
            "telephone_number": "803-517-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDAIOLO",
        "first_name": "SHANNON",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2666",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, NC

Sources for this page

Verify at the official NPI Registry.