Shelly Chumbler OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004626 Issued in MI

Legal business name

SHELLY CHUMBLER OD LLC

Practice address

6445 Citation Dr Ste B
Clarkston, MI 48346-2996

Phone

(248) 922-1862

Fax

(248) 922-2894

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Shelly Spurgess, OD

Title

Owner

Phone

(205) 329-1430

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Shirley, OPTICAN

  • Optician
  • Vestavia Hills, AL
  • NPI 1760658835
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1124276019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 N QUARRY CREEK DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831878",
            "telephone_number": "205-329-1430",
            "fax_number": "248-922-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 CITATION DR STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462996",
            "telephone_number": "248-922-1862",
            "fax_number": "248-922-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 Baldwin Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483261220",
            "country_code": "US",
            "telephone_number": "248-499-6455",
            "fax_number": "248-977-4589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHELLY CHUMBLER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SPURGESS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-329-1430",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SB32TA732",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Adele Shaver
• James Charles Shaya, MD
• Stephanie Shea, LMSW
• Farah Sheena
• Melanie Shehan, MS, RD
• Molly Marie Sherman
• Stefanie Denise Sherman, M.D.
• Carl Bernard Shermetaro, DO
• Teri L Shermetaro, D.O.
• Cody William Shinavier, PMHNP-BC

• Optometrist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.