Active NPI
Maria T Sheldrake, O.D.
- Optometrist
- Twentynine Palms, CA
National Provider Identifier
1093789794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 04600008680
- Practice address
- 1145 Sturgis Street
Naval Hospital
Twentynine Palms, CA 92278-8250 - Phone
- (760) 830-2128
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2177 | TN | |
| Optometrist | 152W00000X | 04600008680 | IL | Primary |
Addresses
Primary practice location
1145 Sturgis Street
Naval Hospital
Twentynine Palms, CA 92278-8250
Mailing address
PO Box 788250
Naval Hospital
Twentynine Palms, CA 92278-8250
Phone (760) 830-2128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04600008680 | IL | MD | Optometrist |
| 2177 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093789794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788250",
"address_2": "NAVAL HOSPITAL",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922788250",
"telephone_number": "760-830-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STURGIS STREET",
"address_2": "NAVAL HOSPITAL",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922788250",
"telephone_number": "760-830-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDRAKE",
"first_name": "MARIA",
"middle_name": "T",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2177",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "04600008680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.