Individual provider Active NPI

Shawn M Slattery

  • Optometrist
  • Panama City, FL
National Provider Identifier
1306935705
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002390 Issued in FL
Practice address
2235 E 15TH St
Panama City, FL 32405-6023
Phone
(850) 747-5272
Fax
(850) 747-5274
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 OPC002390 FL Primary

Addresses

Primary practice location

2235 E 15TH St
Panama City, FL 32405-6023

Mailing address

403 E 11TH St
Panama City, FL 32401-3409
Phone (850) 747-5599

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110216000275 FL Practitioner - Optometry 0143331132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pancare of Florida, IncGroup PAC ID 3476574229, 30 clinicians

Practice addresses (Care Compare)

2235 E 15TH St
Panama City, FL 32405-6023
Phone (850) 747-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC002390FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pancare of Florida, Inc CurrentSince Aug 1, 2020 Accepting new patients
Pancare of Florida, Inc CurrentSince Aug 1, 2020 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
The Retina & Macular Degeneration Center of SW Florida PLLC PastSince Apr 18, 2018 Accepting new patients

Locations

11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155

2235 E 15th St
Panama City, FL 32405
Phone (850) 747-5272

2309 E 15th St
Panama City, FL 32405
Phone (850) 747-5272

403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599

401 Cecil G Costin SR Blvd
Port St Joe, FL 32456
Phone (850) 229-1043

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1306935705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013409",
            "telephone_number": "850-747-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324056023",
            "telephone_number": "850-747-5272",
            "fax_number": "850-747-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "SHAWN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.