Michael P Shea, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002437 Issued in GA

Practice address

9816 N Beach St
Fort Worth, TX 76244-6184

Phone

(817) 741-2020

Fax

(817) 741-3937

NPI assigned

Mar 26, 2007

Last updated

May 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX, GA2 enrollments

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • North Richland Hills, TX
  • NPI 1992340947
  NPD
• Welding Eyecare,PLLC

  • Optometrist
  • Highland Village, TX
  • NPI 1275708836
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1124146469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446184",
            "telephone_number": "817-741-2020",
            "fax_number": "817-741-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Commons Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "TX",
            "postal_code": "762262717",
            "country_code": "US",
            "telephone_number": "940-382-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin K Shaw, LPC, LMFT
• Sarah Cornelia Shaw, DO
• Shuntoyia Yshay Shaw, PBT
• William J Shaw IV, PA-C
• Kathleen R Shea, LCSW
• Hallie Sheade, PHD, LPC-S, RPT-S
• Kimberly A Sheafer
• Christine Shearer
• Kimberly Jean Shearer, RNFA. CNOR
• Kimberly Sheehan

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.