Individual provider Active NPI

Shannon Lynn Sharkey, O.D.

  • Optometrist
  • Northampton, PA
National Provider Identifier
1124180633
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000244 Issued in PA
Practice address
1935 Center St
Northampton, PA 18067-1362
Phone
(610) 262-2091
Fax
(610) 262-2239
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000244 PA Primary

Addresses

Primary practice location

1935 Center St
Northampton, PA 18067-1362

Mailing address

1935 Center St
Northampton, PA 18067-1362
Phone (610) 262-2091

Other identifiers 3

IdentifierTypeStateIssuer
02916500OtherPACAPITAL BLUE CROSS
3117988OtherPAUSHC
SH828149OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20101108000032 PA Practitioner - Optometry 3577643451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1935 Ctr St
Northampton, PA 18067-1362
Phone (610) 262-2091

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000244PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharkey-Kokosky,O.D.,P.C. Optometrist CurrentSince Jun 6, 2000 Accepting new patients

Locations

1935 Center St
Northampton, PA 18067
Phone (610) 262-2091

1935 Center St
#37
Northampton, PA 18067
Phone (610) 262-2091

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1124180633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671362",
            "telephone_number": "610-262-2091",
            "fax_number": "610-262-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671362",
            "telephone_number": "610-262-2091",
            "fax_number": "610-262-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02916500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "3117988",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SH828149",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, PA

Sources for this page

Verify at the official NPI Registry.