Individual provider Active NPI

Shannon Nicole Levy, OD

  • Optometrist
  • Spring, TX
National Provider Identifier
1205501475
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10227TG Issued in TX
Practice address
4710 Louetta Rd
Spring, TX 77388-4419
Phone
(281) 350-2020
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLC (941 clinicians)

Practice addresses (Care Compare)

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210921000793 TX Practitioner - Optometry 2567869415 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10227TXMDBehavioral Analyst
10227TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Texas Optometric PC Optometrist Current
since Apr 28, 2023
Accepting new patients
Kelsey-Seybold Medical Group, PLLC Current
since Nov 13, 2023
Accepting new patients
Second Texas Optometric PC Optometrist Current Accepting new patients
Second Texas Optometric PC Optometrist Current
since Apr 28, 2023
Accepting new patients
First Texas Optometric PC Optometrist Current
since Apr 28, 2023
Accepting new patients
Second Texas Optometric PC Optometrist Current
since Apr 28, 2023
Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

127 Greens Rd
Houston, TX 77060
Phone (281) 826-2020

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

300 Northpark Dr
Ste 600
Kingwood, TX 77339
Phone (281) 360-1006

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

4710 Louetta Rd
Spring, TX 77388
Phone (281) 350-2020

22407 Holzwarth Rd
Spring, TX 77389
Phone (346) 674-4000

402 Sawdust Rd
The Woodlands, TX 77380
Phone (281) 363-2020

Interoperability endpoints

  • Direct secure messaging: slevy69266@direct.kelsey-seybold.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10227TG TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4710 Louetta Rd
Spring, TX 77388-4419

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

1570 Lake Woodlands Dr
The Woodlands, TX 77380-3244
Phone (281) 681-3937

Other practice location 2

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1205501475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884419",
            "telephone_number": "281-350-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 Lake Woodlands Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773803244",
            "country_code": "US",
            "telephone_number": "281-681-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10227TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.