Active NPI
Shaily Sheth
- Optometrist
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2434
- Practice address
- 1826 Highway 160 W Ste 101
Fort Mill, SC 29708-8254 - Phone
- (803) 650-3080
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2434 | SC | Primary |
Addresses
Primary practice location
1826 Highway 160 W Ste 101
Fort Mill, SC 29708-8254
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, DC, MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
49 Forest Rd
Monroe, NY 10950-2923
Phone (845) 782-3242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011335 | NY | MD | Mental Health Counselor |
| 2434 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current | Accepting new patients |
| Aizer Health , Inc. | Current | Accepting new patients | |
| Aizer Health , Inc. | Current | Accepting new patients | |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Myeyedr Optometry of South Carolina LLC | Optometrist | Current | Accepting new patients |
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
2101 E Jefferson St
#4E
Rockville, MD 20852
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242
1826 Highway 160 W
Ste 101
Fort Mill, SC 29708
Phone (803) 650-3080
1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1063480218
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Optometrist
-
- Optometrist
- Rock Hill, SC
- NPI 1205248481
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
- Optometrist
- North Charleston, SC
- NPI 1760910236
-
- Optometrist
- Indian Land, SC
- NPI 1093679961
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1528941689
-
- Health Maintenance Organization
- Timonium, MD
- NPI 1467114207
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1457049819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 HIGHWAY 160 W STE 101",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088254",
"telephone_number": "803-650-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "SHAILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.