Active NPI
Shannon Leigh Compton, O.D.
- Optometrist
- Madison Heights, VA
National Provider Identifier
1255349635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000029
- Practice address
- 5076 S. Amherst Hwy
Madison Heights, VA 24572-1000 - Phone
- (434) 846-7822
- Fax
- (434) 846-8107
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000029 | VA | Primary |
Addresses
Primary practice location
5076 S. Amherst Hwy
Madison Heights, VA 24572-1000
Mailing address
PO Box 1000
Madison Heights, VA 24572-1000
Phone (434) 846-7822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009234357 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000029 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Heights Eye Care PC Optometrists | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Madison Heights, VA
- NPI 1942385786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1255349635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245721000",
"telephone_number": "434-846-7822",
"fax_number": "434-846-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5076 S. AMHERST HWY",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245721000",
"telephone_number": "434-846-7822",
"fax_number": "434-846-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPTON",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009234357",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, VA
- Central Virginia Training Center
- Sherry Lu Coker, DDS
- Commonwealth Chiropractic Center, Inc.
- Commonwealth of VA. Dept of Behavioral HLTH&Central VA Training Center (Central Virginia Training Cener)
- Commonwealth of VA. Dept.of Behavioral HLTH&Central VA. Training Cente (Central Virginia Training Center)
- Kevin M Cope, PT
- Margaret Coram
- Cora H Creasey Short
- Tina Marie Davis, FNP-BC
- Cesar Ventinilla Deguzman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.