Individual provider Active NPI

Shayla Sellars-Jaynes, O.D.

  • Optometrist
  • Linden, NJ
National Provider Identifier
1134359003
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7439T Issued in TX
Practice address
225 N Wood Ave Ste 100
Linden, NJ 07036-4200
Phone
(908) 555-3366
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X
Optometrist 152W00000X 7439T TX Primary

Addresses

Primary practice location

225 N Wood Ave Ste 100
Linden, NJ 07036-4200

Mailing address

3005 Honeymead Rd
Downingtown, PA 19335-6023

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
I20230124003200 PA Practitioner - Optometry 7719140961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7439TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 11, 2023 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 11, 2023 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2006 Accepting new patients

Locations

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

1555 Highlands Dr
Ste 180
Lititz, PA 17543
Phone (717) 625-4600

49 S 2nd St
Oxford, PA 19363
Phone (610) 932-9356

923 Paoli Pike
West Chester, PA 19380
Phone (610) 692-8300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1134359003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 HONEYMEAD RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193356023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WOOD AVE STE 100",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364200",
            "telephone_number": "908-555-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLARS-JAYNES",
        "first_name": "SHAYLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2023-01-13",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7439T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.