B&B Shelle Optical, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

046010583 Issued in IL

Legal business name

B&B SHELLE OPTICAL, LLC

Practice address

22200 Wolf Rd
Frankfort, IL 60423-7721

Phone

(815) 534-5102

Fax

(312) 600-9197

NPI assigned

Nov 1, 2012

Last updated

Apr 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Beard, O.D

Title

Optometrist

Phone

(815) 534-5102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Louise Becker, O.D

  • Optometrist
  • Frankfort, IL
  • NPI 1679820831
  Medicare reassignment NPD

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1316291107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22200 WOLF RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237721",
            "telephone_number": "815-534-5102",
            "fax_number": "312-600-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22200 WOLF RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237721",
            "telephone_number": "815-534-5102",
            "fax_number": "312-600-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B SHELLE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2022-04-29",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "815-534-5102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "046010583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ayesha Akbar M D SC
• Jasmine Baggett
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• Rubina Siddiq Baig, MD
• Alyssa Baker, MS RD
• Erin Baldauf, IBCLC

• Preferred Provider Organization in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.