Vineyard Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VINEYARD VISION CARE LLC

Practice address

79 Beach Rd Unit 30
Vineyard Haven, MA 02568-2600

Phone

(508) 693-3517

Fax

(508) 696-8570

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Ryan P. Shea, ODNPI 1720279250

Title

Doctor/Owner

Phone

(508) 693-3517

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• David Finkelstein OD and Ryan Shea OD, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan P. Shea, O.D.

  • Optometrist
  • Vineyard Haven, MA
  • NPI 1720279250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1073740437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680519",
            "telephone_number": "508-693-3517",
            "fax_number": "508-696-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BEACH RD UNIT 30",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025682600",
            "telephone_number": "508-693-3517",
            "fax_number": "508-696-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "508-693-3517",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "2348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MA",
            "identifier": "W20518",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085992A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Finkelstein OD and Ryan Shea OD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vineyard Healthcare Assoc.
• Vineyard Medical Care LLC
• Vineyard Medical Services PC
• Vineyard Psychotherapy, LLC
• Vineyard Sound Health
• Jennifer M Vogel, LICSW
• Katherine M Voshell, LPN
• Jenny Voumard, LICSW
• Cleo Winsryg-Wild, MA

• Optometrist in Vineyard Haven, MA
• Providers in Vineyard Haven, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.