Active NPI
Shannan Elizabeth Brown, OD
- Optometrist
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003466A
- Practice address
- 230 E Day Rd Ste 100
Mishawaka, IN 46545-3408 - Phone
- (574) 271-3939
- Fax
- (574) 271-3941
- NPI assigned
- Jul 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003466A | IN | Primary |
Addresses
Primary practice location
230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Mailing address
230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Phone (574) 271-3939
Other practice location 1
2216 Cassopolis St
Elkhart, IN 46514-5133
Phone (574) 261-2111
Other practice location 2
320 Meadow Ln
Plymouth, IN 46563-9394
Phone (574) 935-4480
Other practice location 3
319 N Niles Ave Ste 100
South Bend, IN 46617-2328
Phone (574) 282-2020
Other practice location 4
1747 Stafford Ct
Goshen, IN 46526-6542
Phone (574) 533-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200864240 | Medicaid | IN | |
| 18003466A | Other | IN | LICENSE |
| P00991570 | Other | IN | RR MEDICARE |
Other names 1
- Shannan Elizabeth Szuba
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 E Day Rd
Suite 100
Mishawaka, IN 46545-3408
Phone (574) 271-3939
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 96.76
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michiana Eye Center LLC | Optometrist | Current | Accepting new patients |
| Michiana Eye Center LLC | Optometrist | Current | Accepting new patients |
| Michiana Eye Center , LLC | Optometrist | Past | Accepting new patients |
| Michiana Eye Center LLC | Optometrist | Past | Accepting new patients |
| Hickner Eye Center, P.C. | Past | Accepting new patients | |
| Michiana Eye Center LLC | Optometrist | Past | Accepting new patients |
Locations
2216 Cassopolis St
Elkhart, IN 46514
Phone (574) 266-2111
1747 Stafford Ct
Goshen, IN 46526
Phone (574) 533-0100
230 E Day Rd
Ste 100
Mishawaka, IN 46545
Phone (574) 271-3939
320 Meadow Ln
Plymouth, IN 46563
Phone (574) 935-4480
319 N Niles Ave
#100
South Bend, IN 46617
Phone (574) 282-2020
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- shannan.brown@direct.mecfps.nextgenshare.com
Organizations & group practices 6
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.
-
- Specialist
- Portage, MI
- NPI 1891914867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1104023290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 100",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453408",
"telephone_number": "574-271-3939",
"fax_number": "574-271-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 100",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453408",
"telephone_number": "574-271-3939",
"fax_number": "574-271-3941"
}
],
"practiceLocations": [
{
"address_1": "2216 Cassopolis St",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465145133",
"country_code": "US",
"telephone_number": "574-261-2111",
"fax_number": "574-266-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 Meadow Ln",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "IN",
"postal_code": "465639394",
"country_code": "US",
"telephone_number": "574-935-4480",
"fax_number": "574-941-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 N Niles Ave Ste 100",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466172328",
"country_code": "US",
"telephone_number": "574-282-2020",
"fax_number": "574-288-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1747 Stafford Ct",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "465266542",
"country_code": "US",
"telephone_number": "574-533-0100",
"fax_number": "574-533-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SHANNAN",
"middle_name": "ELIZABETH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003466A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200864240",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "18003466A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00991570",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNAN",
"last_name": "SZUBA",
"middle_name": "ELIZABETH",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.