Active NPI
Shannon Nicole Levy, OD
- Optometrist
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10227TG
- 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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921000793 | TX | Practitioner - Optometry | 2567869415 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10227 | TX | MD | Behavioral Analyst |
| 10227TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Texas Optometric PC | Optometrist | Current |
Accepting new patients |
| Kelsey-Seybold Medical Group, PLLC | Current |
Accepting new patients | |
| Second Texas Optometric PC | Optometrist | Current | Accepting new patients |
| Second Texas Optometric PC | Optometrist | Current |
Accepting new patients |
| First Texas Optometric PC | Optometrist | Current |
Accepting new patients |
| Second Texas Optometric PC | Optometrist | Current |
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
- slevy69266@direct.kelsey-seybold.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10227TG | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.