Maria Lyn-Shoop Garcia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003648 Issued in MI

Practice address

800 E Chicago St
Coldwater, MI 49036-2055

Phone

(517) 278-2809

Fax

(517) 278-2199

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Maria Lyn Shoop-Davenport Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 316 Optometry LLC

  dba Maria L Shoop Davenport

  • Optometrist
  • Coldwater, MI
  • NPI 1326206186
  Medicare reassignment NPD Authorized official
• Vicksburg Optometry LLC

  dba 316 Optometry LLC

  • Optometrist
  • Coldwater, MI
  • NPI 1013689819
  NPD Authorized official
• Annie Miller PLLC

  • Optometrist
  • Vicksburg, MI
  • NPI 1427729086
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1417042276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CHURCH ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361756",
            "telephone_number": "269-268-5140",
            "fax_number": "517-278-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362055",
            "telephone_number": "517-278-2809",
            "fax_number": "517-278-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E Prairie St",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MI",
            "postal_code": "490971257",
            "country_code": "US",
            "telephone_number": "269-649-0103",
            "fax_number": "269-649-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIA",
        "middle_name": "LYN-SHOOP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944205383",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SHOOP-DAVENPORT",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• G David Rubley DDS PC
• Ishan Gajera
• Laurie Gajewski, LPN
• Amy Maria Galliers
• Alexis Gamble
• Aubrey Garner, LPC
• Deborah Geiger
• Susan Margaret Germann, MA, LLP, CAAC, CCS-M
• Devin Reed Giberson
• Blayn Gibson

• Optometrist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.