Joe L. Shackelford, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-421-TA-151 Issued in AL

Practice address

685 Schillinger Rd S
Mobile, AL 36695-8922

Phone

(251) 633-5011

Fax

(251) 633-5394

NPI assigned

Feb 28, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Optical Dimensions

  • Eyewear Supplier
  • Mobile, AL
  • NPI 1588753156
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1255468997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 BRADSHIRE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953078",
            "telephone_number": "251-639-7101",
            "fax_number": "251-639-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SCHILLINGER RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958922",
            "telephone_number": "251-633-5011",
            "fax_number": "251-633-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "JOE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-421-TA-151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Diane Sewel
• Shalonda Jeanine Sewell, MS
• James A Sexson, M.D.
• Jourdan Leigh Sexton
• Candyce Seymour, CRNP
• Muhammad Shah Zaib, MD
• Dipesh A Shah, P.T.
• Juhi Shah, MD
• Syed Zohaib Hussain Shah
• Warda Shahnawaz, M.D.

• Optometrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.