Shawn W Skinner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2399 Issued in NC

Practice address

5075 Morganton Rd Ste 9B
Fayetteville, NC 28314-1589

Phone

(910) 867-2325

Fax

(910) 867-2730

NPI assigned

Nov 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Precision Eyecare Optometry Placerville Inc

  • Clinic/Center
  • Placerville, CA
  • NPI 1164070868
  NPD
• America'S Best Contacts & Eyeglasses

  • Optician
  • Fayetteville, NC
  • NPI 1710388210
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1386971042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 9B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141589",
            "telephone_number": "910-867-2325",
            "fax_number": "910-867-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 9B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141589",
            "telephone_number": "910-867-2325",
            "fax_number": "910-867-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "SHAWN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY",
            "identifier": "0708818",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jad Georges Skaf, MD
• Aleisha Skiff, FNP-C
• Brittany Marie Skinner, OT
• Heather Lyn Skinner, PA-C
• Mitchell Shane Skinner, PA-C
• Kimberly Elizabeth Skipper, RRT
• Katelynn Skoda
• Constance Jean Skoglund, LCSW
• Brian Alexander Slade, DPT
• Ashley Slaughter

• Optometrist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.