Sara E Shockney, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1687 Issued in SC

Practice address

121 Main St
Leesville, SC 29070-8016

Phone

(803) 532-3203

Fax

(803) 532-3386

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Ophthalmology Associates PAGroup PAC ID 8628973922, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.23 of 100Reported as group

Quality

99.94

Improvement activities

40

Cost

74.17

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 and National Provider Directory roles.

• Palmetto Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Lexington, SC
  • NPI 1275580805

  SC

  Medicare reassignment Care Compare group NPD
• Palmetto Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Leesville, SC
  • NPI 1992985071

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1437237385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 RACHEL RD",
            "city": "RIDGE SPRING",
            "state": "SC",
            "postal_code": "291299559",
            "telephone_number": "803-587-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708016",
            "telephone_number": "803-532-3203",
            "fax_number": "803-532-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 W Butler St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722606",
            "country_code": "US",
            "telephone_number": "803-359-8777",
            "fax_number": "803-359-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKNEY",
        "first_name": "SARA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007116",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2694",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5780",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D16873",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridge Pediatrics and Adolescent Center
• Beth Sanders, FNP
• Stephanie Sawyer, MSP, CCC-SLP
• Gary Lynn Sheaffer Jr., PT
• Kenneth Shelton II
• Silva Enterprises LLC
• Kaylin Smith, LMA
• Shon Flowers Smith, MSP, CCC-SLP
• Kathryn Jeannine Smoltino
• Stepping Forward LLC

• All providers in Leesville, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.