Shipley & Wayland Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHIPLEY & WAYLAND EYECARE LLC

Practice address

7768 Cumming Hwy Ste 500
Canton, GA 30115-2984

Phone

(470) 863-1999

NPI assigned

Oct 15, 2019

Last updated

Oct 15, 2019By 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

Miss Anesa Caffee

Title

Billing Consultant

Phone

(404) 578-4550

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Brian Gregory Shipley, O.D.

  • Optometrist
  • Canton, GA
  • NPI 1114055522
  Medicare reassignment Care Compare group NPD
• David Jackson Wayland Sr., O.D.

  • Optometrist
  • Alpharetta, GA
  • NPI 1871674622
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1437791076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 GRANDMAR CHASE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301156409",
            "telephone_number": "404-784-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 CUMMING HWY STE 500",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152984",
            "telephone_number": "470-863-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY & WAYLAND EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "CAFFEE",
        "authorized_official_first_name": "ANESA",
        "authorized_official_title_or_position": "BILLING CONSULTANT",
        "authorized_official_telephone_number": "404-578-4550",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919322A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Shelp
• Heathar Shepard, NUTRITIONIST
• Brittaney R Sherman-Horng, NP
• Joseph Cason Sherwood, RPH
• Sora Shim, PA-C
• Brian Gregory Shipley, O.D.
• Mariana Brady Shively, MA, LPC, RPT
• James H Shorr, DDS
• Aparna Prasad Shreenath, MD
• Valeria Sibaja, PA-C

• Optometrist in Canton, GA
• Providers in Canton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.