Shawna Wietz Fox, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5505T Issued in TX

Practice address

4400 Fredericksburg Rd
Ste 107
San Antonio, TX 78201-1969

Phone

(210) 737-1926

Fax

(210) 737-2621

NPI assigned

Jul 18, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox and Sheppard, P.a.Group PAC ID 7810270394, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Fox and Sheppard, P.a.

  • Optometrist
  • San Antonio, TX
  • NPI 1912230780
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1285653741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 FREDERICKSBURG RD",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011969",
            "telephone_number": "210-737-1926",
            "fax_number": "210-737-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 FREDERICKSBURG RD",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011969",
            "telephone_number": "210-737-1926",
            "fax_number": "210-737-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SHAWNA",
        "middle_name": "WIETZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5505T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Fox
• Lyndsey Kay Fox, RBT
• Peter T Fox, MD
• Reuben Fox
• Sandra Fox, OD
• Stephanie Kay Fox, RPH
• Virginia Fox, PT
• Adrienne Elyse Frachtman, MS, SLP
• Felisha Fraga
• Amber Fragoso, ATC, LAT

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.