Shannon Cherie Kerns, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6895T Issued in TX

Practice address

7708 Lohmans Ford Rd
BLDG., B, Suite 102
Lago Vista, TX 78645-4781

Phone

(512) 267-7700

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Eye Care, P.a.Group PAC ID 4688736903, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• North Shore Eye Care, P.a.

  • Optometrist
  • Lago Vista, TX
  • NPI 1487803961
  Medicare reassignment Care Compare group NPD Authorized official
• Elite Vision Group, PLLC

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  Medicare reassignment NPD
• Vision Center of Texas, PA

  • Ophthalmology Physician
  • Cedar Park, TX
  • NPI 1932490943
  Medicare reassignment
• Eye Clinic of Austin PLLC

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1023363926

  Optometrist

  NPD (past)
• Leander Eye Care PC

  • Optometrist
  • Leander, TX
  • NPI 1417279480
  NPD (past)
• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1295748663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 LOHMANS FORD RD STE 102B",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786454794",
            "telephone_number": "512-267-7700",
            "fax_number": "512-267-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 LOHMANS FORD RD",
            "address_2": "BLDG., B, SUITE 102",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786454781",
            "telephone_number": "512-267-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "SHANNON",
        "middle_name": "CHERIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6895T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jamal
• William Janosek, PT, DPT
• Jewel'S Home Health Care
• Karin Fagner NP PLLC
• Karin Fagner NP PLLC
• Jennifer Michelle Kunze, DPT
• Lago Vista Family Dentistry, Inc.
• Lago Vista Family Dentistry, PLLC
• Lago Vista Isd
• Lago Vista Physical Therapy

• Optometrist in Lago Vista, TX
• Providers in Lago Vista, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.