Active NPI
Shannon Lyn Schug, O.D.
- Optometrist
- Buffalo, NY
National Provider Identifier
1144420142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6347
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007147-1 | NY | MD | Optometrist |
| 6347 | OH | MD | Pain Medicine (Anesthesiology) Physician |
| 007147 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharma Ophthalmology PLLC | Current | Accepting new patients | |
| Charles J Fetterman MD PC | Past | 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
- 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.
-
- Ophthalmology Physician
- Irving, NY
- NPI 1750535282
-
- Ophthalmology Physician
- Lockport, NY
- NPI 1316004013
-
- Optician
- Hamburg, NY
- NPI 1992281802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.