Brian Gregory Shipley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002184 Issued in GA

Practice address

217 Riverstone Dr
Canton, GA 30114-5256

Phone

(770) 345-5220

Fax

(770) 479-5011

NPI assigned

Feb 28, 2007

Sex

Male

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 GA

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shipley and Wayland Eyecare, LLCGroup PAC ID 0446689582, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shipley & Wayland Eyecare LLC

  • Optometrist
  • Canton, GA
  • NPI 1437791076
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr

  • Optometrist
  • Augusta, GA
  • NPI 1205973658
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1114055522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-5220",
            "fax_number": "770-479-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "BRIAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heathar Shepard, NUTRITIONIST
• Brittaney R Sherman-Horng, NP
• Joseph Cason Sherwood, RPH
• Sora Shim, PA-C
• Shipley & Wayland Eyecare LLC
• Mariana Brady Shively, MA, LPC, RPT
• James H Shorr, DDS
• Aparna Prasad Shreenath, MD
• Valeria Sibaja, PA-C
• Steven W Sick, CCC-A

• Optometrist in Canton, GA
• Providers in Canton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.