Shawn M McDonald OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHAWN M MCDONALD OD A PROFESSIONAL CORPORATION

Practice address

2802 Mallard LN
Placerville, CA 95667-8770

Phone

(530) 626-8440

NPI assigned

Sep 20, 2012

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn M McDonaldNPI 1710037445

Title

Owner

Phone

(530) 626-8440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Mitchell McDonald, OD

  • Optometrist
  • Placerville, CA
  • NPI 1710037445
  Authorized official Same address or phone

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1427309160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 MALLARD LN",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678770",
            "telephone_number": "530-626-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 MALLARD LN",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678770",
            "telephone_number": "530-626-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M MCDONALD OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-626-8440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Adele Severson, FNP
• Jamie Shamblin, B.A.
• Mathew Sharkawy
• Nora Sharp
• Amanda Marie Sharpe, EDD, EDS, PPS
• Laura Jane Shepherd
• Matthew Hugh Shepherd, DC
• Shannon Sherman, MFT TRAINEE
• Shingle Springs Rancheria (Shingle Springs Health and Wellness Center)
• Shingle Springs Rancheria (Shingle Springs Health and Wellness Center)

• Optometrist in Placerville, CA
• Providers in Placerville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.