Individual provider Active NPI

Mesheca Carter Bunyon, O.D.

  • Optometrist
  • La Plata, MD
National Provider Identifier
1417080102
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1594 Issued in MD
Practice address
30 Shining Willow Way Ste 30-B
La Plata, MD 20646-4383
Phone
(240) 523-4454
NPI assigned
Mar 13, 2007
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1594 MD Primary

Addresses

Primary practice location

30 Shining Willow Way Ste 30-B
La Plata, MD 20646-4383

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Dr. Mesheca Shannee Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091002000497 MD Practitioner - Optometry 0840336954 Reassigns benefits to 1 organization
I20110420000308 DC Practitioner - Optometry 0840336954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as group
Quality
93.41
Improvement activities
40
Cost
78.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1594MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 16, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 28, 2023 Accepting new patients
Solomon Eye Physicians and Surgeons, LLC CurrentSince Sep 30, 2019 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 28, 2023 Accepting new patients
Suburban Eye Associates LLC Past Accepting new patients
Lamont Bunyon, OD, PA Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

4201 Northview Dr
Ste 500
Bowie, MD 20716
Phone (301) 464-1885

7500 Hanover Pkwy
Ste 101B
Greenbelt, MD 20770
Phone (301) 895-4565

6104 Old Branch Ave
Temple Hills, MD 20748
Phone (301) 702-6100

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1417080102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHINING WILLOW WAY STE 30-B",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464383",
            "telephone_number": "240-523-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNYON",
        "first_name": "MESHECA",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MESHECA",
            "last_name": "CARTER",
            "middle_name": "SHANNEE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.