Shale Lynn Demuth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002822 Issued in AZ

Practice address

3601 S 6TH Ave
Tucson, AZ 85723-0001

Phone

(520) 792-1450

Fax

(520) 783-4386

NPI assigned

May 1, 2024

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Carlos L Grandela O.D. PLCGroup PAC ID 4284044249, 3 clinicians

Family First Vision Care Arizona PLLCGroup PAC ID 6204109648, 11 clinicians

Practice addresses (Care Compare)

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

• Carlos L Grandela O.D. PLC

  dba ViewFinder Low Vision Resource Center

  • Low Vision Rehabilitation Optometrist
  • Mesa, AZ
  • NPI 1871738914
  Medicare reassignment Care Compare group NPD
• Family First Vision Care Arizona PLLC

  dba Pearle Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment Care Compare group NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1417704222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 N DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017588",
            "telephone_number": "480-649-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450",
            "fax_number": "520-783-4386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 E Northern Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204274",
            "country_code": "US",
            "telephone_number": "623-583-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMUTH",
        "first_name": "SHALE",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale P Demonbreun, PT
• Jeffrey A Demoss, DO
• Lynnette Eileen Demosthenes, FAMILY MEDICINENP-BC
• Melinda Maria Dempsey
• John Dempster Jr., M.D.
• Dena Petersen, M.D. P.C
• Antony Denard Jr., M.D.
• Stephen Allen Denbrock, DDS
• Gisele Denepitiya, MD
• Cathy Wu Deng

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.