Shelly Holcomb Lowe, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

8251T Issued in CA

Practice address

729 Mission St Ste 200
South Pasadena, CA 91030-3072

Phone

(626) 441-5300

Fax

(626) 441-2880

NPI assigned

Feb 22, 2007

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Pasadena Optometric Group IncGroup PAC ID 3072556257, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Pasadena Optometric Group, Inc.

  • Optometrist
  • South Pasadena, CA
  • NPI 1750416566
  Medicare reassignment Care Compare group
• Frederick R. Harris, O.D., Inc.

  • Optometrist
  • South Pasadena, CA
  • NPI 1114237658
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1144355975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "SHELLY",
        "middle_name": "HOLCOMB",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "8251T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "03073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivana Sophia Lopeztiana
• Pinsopearui Lor
• Los Angeles County Department of Mental Health (Mental Health Court Program)
• Los Angeles County Department of Mental Health (CARE Court-North)
• Kevin Boyd Lovelace, BCBA
• Alexis Lubensky
• Diana Luna
• Sylvia Ann Luna, LPT
• Jillian Luz, LMFT
• Anahis Christine Lynch

• Low Vision Rehabilitation Optometrist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Low Vision Rehabilitation Optometrist in California

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