Individual provider Active NPI

Shannon Lyn Schug, O.D.

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1144420142
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6347 Issued in OH
Practice address
945 Broadway St
Buffalo, NY 14212-1218
Phone
(716) 845-6080
Fax
(716) 845-0167
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007147-1 NY
Optometrist 152W00000X 6347 OH Primary

Addresses

Primary practice location

945 Broadway St
Buffalo, NY 14212-1218

Mailing address

6473 Pebble CT
Medina, OH 44256-5561
Phone (716) 713-0948

Other names 1

  • Dr. Shannon Lyn Daly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071010000115 NY Practitioner - Optometry 8820184666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharma Ophthalmology PLLCGroup PAC ID 9032275979, 3 clinicians

Practice addresses (Care Compare)

12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007147-1NYMDOptometrist
6347OHMDPain Medicine (Anesthesiology) Physician
007147NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Ophthalmology PLLC CurrentSince Sep 1, 2017 Accepting new patients
Charles J Fetterman MD PC PastSince Jul 8, 2002 Accepting new patients
Optics Fashion Eyewear, LLC Past Accepting new patients

Locations

5844 Southwestern Blvd
Ste 600
Hamburg, NY 14075
Phone (716) 898-2002

12657 Seneca Rd
Irving, NY 14081
Phone (716) 934-3300

Interoperability endpoints

  • Direct secure messaging: sschug@sharmaophthalmology.eyefinity-direct.com

Organizations & group practices 3

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1144420142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6473 PEBBLE CT",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565561",
            "telephone_number": "716-713-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121218",
            "telephone_number": "716-845-6080",
            "fax_number": "716-845-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUG",
        "first_name": "SHANNON",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007147-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DALY",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.