Organization Active NPI

Crozet Eye Care, Shannon Franklin, OD, LLC

  • Optometrist
  • Crozet, VA
National Provider Identifier
1164595336
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001030 Issued in VA
Legal business name
CROZET EYE CARE, SHANNON FRANKLIN, OD, LLC
Practice address
300 Claremont Lane
Suite 102
Crozet, VA 22932
Phone
(434) 823-4441
Fax
(434) 823-7620
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Dr. Shannon Campbell Franklin, ODNPI 1225006521
Title
Owner
Phone
(434) 823-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001030 VA Primary

Addresses

Primary practice location

300 Claremont Lane
Suite 102
Crozet, VA 22932

Mailing address

300 Claremont Lane
Suite 102
Crozet, VA 22932
Phone (434) 823-4441

Other names 1

  • Crozet Eye Care, Optometrists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000644 VA Part B Supplier - Clinic/Group Practice 7810093226 Receives reassigned benefits from 3 practitioners
Practice locations: Crozet, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1081371Crozet Eye Care, Optometrists300 Claremont Lane Suite 102, Crozet, VA 22932Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

325 Four Leaf Ln
Ste 12
Charlottesville, VA 22903
Phone (434) 466-1588

325 Four Leaf Ln
Ste 13
Charlottesville, VA 22903
Phone (434) 823-4441

300 Claremont Ln
Crozet, VA 22932

300 Claremont Ln
Ste 102
Crozet, VA 22932
Phone (434) 823-4441

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1164595336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLAREMONT LANE",
            "address_2": "SUITE 102",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "22932",
            "telephone_number": "434-823-4441",
            "fax_number": "434-823-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLAREMONT LANE",
            "address_2": "SUITE 102",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "22932",
            "telephone_number": "434-823-4441",
            "fax_number": "434-823-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZET EYE CARE, SHANNON FRANKLIN, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-823-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crozet Eye Care, Optometrists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crozet Eye Care, Optometrists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crozet, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.