Individual provider Active NPI

Shannon Macnab, O.D.

  • Optometrist
  • Sheboygan, WI
National Provider Identifier
1275585119
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2664 Issued in WI
Practice address
518 S Taylor Dr
Sheboygan, WI 53081-4253
Phone
(920) 458-5757
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2664 WI Primary

Addresses

Primary practice location

518 S Taylor Dr
Sheboygan, WI 53081-4253

Mailing address

1028 Los Angeles Ave
Sheboygan, WI 53083-4841

Other identifiers 1

IdentifierTypeStateIssuer
38597600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060620000288 WI Practitioner - Optometry 5092727776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2664WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients

Locations

1033 W Northland Ave
Ste B
Appleton, WI 54914
Phone (920) 731-4511

1490 Oneida St
Appleton, WI 54915
Phone (920) 725-3752

3525 E Calumet St
Ste 1400
Appleton, WI 54915
Phone (920) 788-4114

N6663 Rolling Meadows Dr
Ste I
Fond du Lac, WI 54937
Phone (920) 921-8290

2360 Costco Way
Ste 120
Green Bay, WI 54311
Phone (920) 468-4642

2621 S Oneida St
Ste 104
Green Bay, WI 54304
Phone (920) 499-3511

5722 S 108th St
Hales Corners, WI 53130
Phone (414) 786-2941

1595 E Sumner St
Ste 108
Hartford, WI 53027
Phone (262) 709-8211

3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

1154 Westowne Dr
Neenah, WI 54956
Phone (920) 751-0275

1212 S Koeller St
Oshkosh, WI 54902
Phone (920) 426-5730

1810 Jackson St
Oshkosh, WI 54901
Phone (920) 385-1262

518 S Taylor Dr
Sheboygan, WI 53081
Phone (920) 458-0040

4097 Highway 28
Unit 2
Sheboygan Falls, WI 53085
Phone (920) 458-5757

2314 Lineville Rd
Ste 104
Suamico, WI 54313
Phone (920) 434-5845

1745 S Main St
Unit 7
West Bend, WI 53095
Phone (262) 334-7077

Organizations & group practices 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275585119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LOS ANGELES AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530834841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814253",
            "telephone_number": "920-458-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNAB",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38597600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.