Cathleen Rosalie Caraballo Shanks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5615 Issued in FL

Practice address

2190 9TH St N
Naples, FL 34102-4819

Phone

(239) 263-3223

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Indiana University - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Cape Coral Eye Center, P.a.

  • Optometrist
  • Cape Coral, FL
  • NPI 1427067438
  Medicare reassignment Care Compare group NPD
• Cape Coral Eye Center, P.a.

  • Ophthalmologic Surgery Clinic/Center
  • Cape Coral, FL
  • NPI 1376553925
  NPD

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1295266583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15493 SUMMIT PLACE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194123",
            "telephone_number": "813-990-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 9TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341024819",
            "telephone_number": "239-263-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 US 31 N Ste K03A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461424503",
            "country_code": "US",
            "telephone_number": "317-883-0419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARABALLO SHANKS",
        "first_name": "CATHLEEN",
        "middle_name": "ROSALIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004009A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Capizzi, RN BSN
• Kevin Douglas Cappelen, DDS
• Lisa Caprio, MD
• Michael Gerard Caputo, M.D.
• Ronald P Caputo, MD
• Thomas George Caranasos, M.D.
• Grethell L Carballido Cabrera
• Daphne Carballo, PA-C
• Valerie F. Carballosa, APRN
• Yanet Carballosa, FNP

• Optometrist in Naples, FL
• Providers in Naples, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.