Individual provider Active NPI

Shanee Chandler

  • Optometrist
  • Stamford, CT
National Provider Identifier
1184072142
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2978 Issued in CT
Practice address
144 Morgan St Ste 7
Stamford, CT 06905-5433
Phone
(347) 439-0490
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2978 CT Primary

Addresses

Primary practice location

144 Morgan St Ste 7
Stamford, CT 06905-5433

Mailing address

144 Morgan St Ste 7
Stamford, CT 06905-5433
Phone (347) 439-0490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160826001634 CT Practitioner - Optometry 5193010379 Reassigns benefits to 2 organizations
I20210902002520 NY Practitioner - Optometry 5193010379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Services P.C. Optometrist CurrentSince Jan 7, 2017 Accepting new patients
Swift Optometry Care PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
200 West Optics, LLC Optometrist PastSince Jun 25, 2016 Accepting new patients
Emerald Multispecialty PA Past Accepting new patients

Locations

1188 King St
Greenwich, CT 06831
Phone (203) 531-8300

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

35 Marc Dr
Wallingford, CT 06492
Phone (203) 265-0981

250 Skillman St
Ste 202
Brooklyn, NY 11205

250 Skillman St
Unit 2
Brooklyn, NY 11205

19106 Hillside Ave
Jamaica, NY 11423
Phone (718) 439-8533

275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1184072142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST STE 7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "347-439-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST STE 7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "347-439-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SHANEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.