Individual provider Active NPI

Shannon R Winstead, O.D.

  • Optometrist
  • Huntingdon, PA
National Provider Identifier
1225477797
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002788 Issued in PA
Practice address
828 Washington St
Huntingdon, PA 16652-1726
Phone
(814) 643-2020
Fax
(814) 641-2020
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002788 PA Primary

Addresses

Primary practice location

828 Washington St
Huntingdon, PA 16652-1726

Mailing address

828 Washington St
Huntingdon, PA 16652-1726
Phone (814) 643-2020

Other identifiers 1

IdentifierTypeStateIssuer
OEG002788OtherPAPENNSYLVANIA STATE LICENSE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130807000216 PA Practitioner - Optometry 4284876061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntingdon Vision Center LTDGroup PAC ID 9931314184, 2 clinicians

Practice addresses (Care Compare)

828 Washington St
Huntingdon, PA 16652-1726
Phone (814) 643-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002788PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntingdon Vision Center LTD Optometrist CurrentSince Jul 1, 2013 Accepting new patients

Locations

828 Washington St
Huntingdon, PA 16652
Phone (814) 643-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1225477797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 WASHINGTON ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521726",
            "telephone_number": "814-643-2020",
            "fax_number": "814-641-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 WASHINGTON ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521726",
            "telephone_number": "814-643-2020",
            "fax_number": "814-641-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE LICENSE",
            "identifier": "OEG002788",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.