Laura Jean Shipman

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002903 Issued in GA

Practice address

5220 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2739

Phone

(770) 439-1426

Fax

(770) 943-2550

NPI assigned

Sep 27, 2006

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spectacle, LLC

  • Optometrist
  • Smyrna, GA
  • NPI 1821688268
  NPD
• Custom Eyes RX Inc

  dba Fashion Lens Lab & Hearing Center

  • Health Service Clinic/Center
  • Matamoras, PA
  • NPI 1982732715
  NPD (past)
• Monroe Vision and Hearing Center, Inc.

  • Optometrist
  • Stroudsburg, PA
  • NPI 1497821235
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1265523823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NATHAN DEAN BYP",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301532019",
            "telephone_number": "678-685-5003",
            "fax_number": "770-684-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 JIMMY LEE SMITH PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412739",
            "telephone_number": "770-439-1426",
            "fax_number": "770-943-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Dallas Hwy SW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300642661",
            "country_code": "US",
            "telephone_number": "770-250-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019641200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macaiah Sheffield, DPT
• Abdul Malik Sheikh, MD
• Jennifer Lynn Shepherd, D.C.
• Mary Ann Sheppard, LPC
• Shielding Hearts Counseling Center
• Zaid Mohammed-Khair Shmaisani, MD
• Christine Elizabeth Shuffield, NP
• Rakendu Prakash Shukla, MD
• Carmen Shumate, EDS, LPC, NCC
• Landa Shynika Silas

• Optometrist in Hiram, GA
• Providers in Hiram, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.