Shelley Dee Ann Roten, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4700TG Issued in TX

Practice address

4004 82ND St Ste 200
Lubbock, TX 79423-2064

Phone

(806) 743-7676

NPI assigned

Sep 20, 2006

Last updated

Jul 6, 2020By the provider in NPPES

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 TX

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

University of Houston - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Lubbock, Inc.Group PAC ID 6002710860, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

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.

• Community Health Center of Lubbock, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1831569540
  Medicare reassignment Care Compare group NPD
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/Anatomical Pathology

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  Medicare reassignment NPD
• Community Health Center of Lubbock, Inc.

  dba CHCL West Medical & Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1225304686
  NPD
• Community Health Center of Lubbock, Inc.

  dba Chatman Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1528030087
  NPD
• Texas Tech University Health Sciences Center Lubbock

  dba Ttuhsc - DME

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1053458026
  NPD
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC - Opthalmology

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1336198621
  NPD
• Insight Vision Care PC

  • Optometrist
  • Houston, TX
  • NPI 1235460239
  NPD (past)
• James Hamilton O.D.

  • Eyewear Supplier
  • Lubbock, TX
  • NPI 1356504559
  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC - Anesthesiology

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1306894175
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1437257946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 110TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247326",
            "telephone_number": "806-543-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 82ND ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232064",
            "telephone_number": "806-743-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTEN",
        "first_name": "SHELLEY",
        "middle_name": "DEE ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4700TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlsie Grace Rossander
• Madelin Rossi, PA
• Kaylinn Elizabeth Rossow
• Jack W Rostas III, M.D.
• Robert Glenn Roten, LPT
• Lindsey Roush, M.ED.
• Alan D Row, MD
• Kimberlee Kester Rowan
• Haley Rowden
• Dylan Rowe, MS, LAT, ATC

• Optometrist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.