Michael James Shiembob, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002536 Issued in CT

Practice address

315 West Main Street
Avon, CT 06001

Phone

(860) 678-3937

Fax

(860) 678-7217

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Eyecare of Meriden LLC.

  • Optometrist
  • Meriden, CT
  • NPI 1801330691
  Medicare reassignment
• New England Eyecare of Manchester, P.C.

  • Occupational Vision Optometrist
  • Avon, CT
  • NPI 1437248283
  NPD (past)
• New England Eyecare of Manchester, P.C.

  • Optometrist
  • Manchester, CT
  • NPI 1487683470
  NPD (past)
• New England Eyecare of Manchester, P.C.

  • Occupational Vision Optometrist
  • West Hartford, CT
  • NPI 1659467454
  NPD (past)
• Premier Eyecare

  • Exclusive Provider Organization
  • Meriden, CT
  • NPI 1033376330
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225087000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FOREST DRIVE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-529-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WEST MAIN STREET",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-678-3937",
            "fax_number": "860-678-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEMBOB",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Sharpe, OTR
• Michael D. Shea, APRN-BC
• Lisa Sheehan, PA-C
• Duojia Shen, APRN
• Selinda A Shepherd, DPT
• Salli Unhong Shon, LCSW, BCBA, LBA
• Jeffrey Allen Sic, MA, LPCA
• Madison Sides
• Siegel Chiropractic, LLC
• Bennett E. Siegel, DC

• Optometrist in Avon, CT
• Providers in Avon, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.