NPIMap

Organization Active NPI

Michele Y Shade, O.D.

  • Optometrist
  • Pottstown, PA
National Provider Identifier
1073781696
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000169 Issued in PA
Legal business name
MICHELE Y SHADE, O.D.
Doing business as
Shade Eyecare
Practice address
142 Shoemaker Rd
Pottstown, PA 19464-6430
Phone
(610) 326-1106
Fax
(610) 326-1108
NPI assigned
Feb 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Michele Shade, OD
Title
Proprietor
Phone
(610) 326-1106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG000169 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X OEG000169 PA

Addresses

Primary practice location

142 Shoemaker Rd
Pottstown, PA 19464-6430

Mailing address

142 Shoemaker Rd
Pottstown, PA 19464-6430
Phone (610) 326-1106

Other names 1

  • Shade Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

142 Shoemaker Rd
Ste E
Pottstown, PA 19464
Phone (610) 326-1106

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1073781696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SHOEMAKER RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646430",
            "telephone_number": "610-326-1106",
            "fax_number": "610-326-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SHOEMAKER RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646430",
            "telephone_number": "610-326-1106",
            "fax_number": "610-326-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE Y SHADE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "610-326-1106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000169",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "OEG000169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shade Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.