Individual provider Active NPI

Shelly Ann Cadman, O.D.

  • Optometrist
  • Riverton, WY
National Provider Identifier
1417969718
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
227T Issued in WY
Practice address
111 S Broadway Ave
Riverton, WY 82501-4329
Phone
(307) 856-9000
Fax
(307) 856-9004
NPI assigned
Aug 13, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 227T WY Primary

Addresses

Primary practice location

111 S Broadway Ave
Riverton, WY 82501-4329

Mailing address

111 S Broadway Ave
Riverton, WY 82501-4329
Phone (307) 856-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20150202001075 WY Practitioner - Optometry 8820137276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 S Broadway Ave
Riverton, WY 82501-4329
Phone (307) 856-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Fremont LLC Optometrist CurrentSince Nov 13, 2014 Accepting new patients
US Health Dept of Health & Human Services Past Accepting new patients

Locations

111 S Broadway Ave
Riverton, WY 82501
Phone (307) 856-9000

704 E Fremont Ave
Riverton, WY 82501
Phone (307) 463-0714

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1417969718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014329",
            "telephone_number": "307-856-9000",
            "fax_number": "307-856-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014329",
            "telephone_number": "307-856-9000",
            "fax_number": "307-856-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADMAN",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "227T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.