Individual provider Active NPI

Shelby Zemski, OD

  • Optometrist
  • Cheyenne, WY
National Provider Identifier
1093382749
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
444T Issued in WY
Practice address
1854 Dell Range Blvd
Cheyenne, WY 82009-4949
Phone
(307) 638-6610
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 444T WY Primary

Addresses

Primary practice location

1854 Dell Range Blvd
Cheyenne, WY 82009-4949

Mailing address

1854 Dell Range Blvd
Cheyenne, WY 82009-4949
Phone (307) 638-6610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@CheyenneVisionClinicCheyenneWY.CompulinkDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20210628000819 WY Practitioner - Optometry 9133520232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Vision Clinic PCGroup PAC ID 8820071251, 8 clinicians

Practice addresses (Care Compare)

1854 Dell Range Blvd
Cheyenne, WY 82009-4949
Phone (307) 638-6610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
444TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Vision Clinic P.C. Optometrist Current Accepting new patients
Cheyenne Vision Clinic P.C. Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

1200 E Pershing Blvd
Cheyenne, WY 82001
Phone (307) 638-6610

1854 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 634-3937

408 S 2nd St
Laramie, WY 82070
Phone (307) 721-3937

Interoperability endpoints

  • Direct secure messaging: direct@cheyennevisioncliniccheyennewy.compulinkdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1093382749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094949",
            "telephone_number": "307-638-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094949",
            "telephone_number": "307-638-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMSKI",
        "first_name": "SHELBY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "444T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@CheyenneVisionClinicCheyenneWY.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "1854 Dell Range Blvd",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820094949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.