Individual provider Active NPI

Shannon L McCann, OD

  • Optometrist
  • Billerica, MA
National Provider Identifier
1437193299
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4540 Issued in MA
Practice address
700 Boston Rd
Mass Optometric Associates, P.C.
Billerica, MA 01821-5316
Phone
(978) 667-0481
Fax
(978) 670-7778
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4540 MA Primary

Addresses

Primary practice location

700 Boston Rd
Mass Optometric Associates, P.C.
Billerica, MA 01821-5316

Mailing address

2921 Erie Blvd E
C/O Empire Vision Center, Inc
Syracuse, NY 13224-1430
Phone (315) 445-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051215000648 MA Practitioner - Optometry 2860413077 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians

Practice addresses (Care Compare)

1040 Massachusetts Ave
Arlington, MA 02476-4315
Phone (781) 648-1620

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4540MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Associates, PC Optometrist CurrentSince Jul 5, 2017 Accepting new patients
Lexington Eye Associates, Inc. CurrentSince Oct 24, 2020 Accepting new patients
Lexington Eye Associates, Inc CurrentSince Oct 24, 2020 Accepting new patients
Emerson Hospital Current Accepting new patients
Lexington Eye Associates - Bid CurrentSince Oct 24, 2020 Accepting new patients

Locations

1040 Massachusetts Ave
Arlington, MA 02476
Phone (781) 648-1620

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

160 Littleton Rd
Ste 9
Westford, MA 01886
Phone (781) 876-2020

Interoperability endpoints

  • Direct secure messaging: mccann.shannon.epho@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1437193299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 ERIE BLVD E",
            "address_2": "C/O EMPIRE VISION CENTER, INC",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241430",
            "telephone_number": "315-445-7465",
            "fax_number": "315-445-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BOSTON RD",
            "address_2": "MASS OPTOMETRIC ASSOCIATES, P.C.",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215316",
            "telephone_number": "978-667-0481",
            "fax_number": "978-670-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

Verify at the official NPI Registry.