Shelly F Shaw, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1812 Issued in TN

Practice address

1000 Tusculum Blvd
Suite 4
Greeneville, TN 37745-4056

Phone

(423) 639-8128

Fax

(423) 798-9204

NPI assigned

Jun 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 1997

Medicare assignment

May accept Medicare assignment

Group practices

East View Eye Care PCGroup PAC ID 3971553660, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drshaw@eastvieweyecare.eyefinity-direct.com

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.

• East View Eye Care, P.C.

  • Optometrist
  • Greeneville, TN
  • NPI 1174594667
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093742256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TUSCULUM BLVD",
            "address_2": "SUITE 4",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454056",
            "telephone_number": "423-639-8128",
            "fax_number": "423-798-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TUSCULUM BLVD",
            "address_2": "SUITE 4",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454056",
            "telephone_number": "423-639-8128",
            "fax_number": "423-798-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SHELLY",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Self, REGISTERED DIETITIAN
• Anindya Kumar Sen, MD F.A.C.P.
• Shadybrook
• Jennifer L Sharp-Saunders, MD
• John L. Shaw, M.D.
• Jeremiah James Shelnutt, LPC-MHSP
• Amy Leigh Shelton, NP
• Becky Jane Shelton, RN
• Janet Faye Shelton, CRT
• Joy Christine Shelton, CRT

• Optometrist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.