Individual provider Active NPI

Shannon Lebus, DO

  • Optometrist
  • Longview, TX
National Provider Identifier
1326591728
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9005T Issued in TX
Practice address
2394 H G Mosley Pkwy
Longview, TX 75604-3661
Phone
(903) 234-0771
Fax
(903) 234-0775
NPI assigned
Aug 2, 2016
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9005T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 9005T TX
Pediatric Optometrist 152WP0200X 9005T TX

Addresses

Primary practice location

2394 H G Mosley Pkwy
Longview, TX 75604-3661

Mailing address

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone (035) 260-4449

Other practice location 1

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone (903) 526-0444

Other practice location 2

3415 Golden Rd
Tyler, TX 75701-8355
Phone (903) 526-0444

Other practice location 3

1240 S Palestine St
Athens, TX 75751-3619
Phone (903) 526-0444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210108001590 TX Practitioner - Optometry 9739592890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles L. Heaton, M.D. P.a.Group PAC ID 1557257615, 18 clinicians

Practice addresses (Care Compare)

1240 S Palestine St
Athens, TX 75751-3619
Phone 90352604442111

2394 H G Mosley Pkwy
Longview, TX 75604-3661
Phone 90352604442111

3415 Golden Rd
Tyler, TX 75701-8355

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
80.92
Promoting interoperability
98
Improvement activities
40
Cost
76.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9005TXMDChiropractor
9005TTXMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles L. Heaton , M.D. P.a. CurrentSince Apr 1, 2022 Accepting new patients
Charles L. Heaton , M.D. P.a. Optometrist PastSince Jul 24, 2022 Accepting new patients

Locations

1240 S Palestine St
Athens, TX 75751
Phone (903) 526-0444

2394 H G Mosley Pkwy
Longview, TX 75604
Phone (903) 234-0771

3355 Earl Campbell Pkwy
Tyler, TX 75701
Phone (903) 526-0444

3415 Golden Rd
Tyler, TX 75701
Phone (903) 526-0444

Interoperability endpoints

  • Direct secure messaging: shannon.lebus.p1@direct.heatoneye.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1326591728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "035-260-4449",
            "fax_number": "903-595-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756043661",
            "telephone_number": "903-234-0771",
            "fax_number": "903-234-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Earl Campbell Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018435",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 Golden Rd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018355",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757513619",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBUS",
        "first_name": "SHANNON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9005T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "9005T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "9005T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.