Shannon M Burgess, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000127 Issued in PA

Practice address

1260 Valley Forge Rd
Suite 108
Phoenixville, PA 19460-2691

Phone

(610) 917-0700

Fax

(610) 917-0708

NPI assigned

Apr 3, 2006

Last updated

Oct 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 PA

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

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shannon M. Burgess, OD

  dba Valley Forge Eye Care

  • Medical Specialty Clinic/Center
  • Phoenixville, PA
  • NPI 1275835829
  NPD (past) Authorized official

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1457313835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 VALLEY FORGE RD",
            "address_2": "SUITE 108",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602691",
            "telephone_number": "610-917-0700",
            "fax_number": "610-917-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 VALLEY FORGE RD",
            "address_2": "SUITE 108",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602691",
            "telephone_number": "610-917-0700",
            "fax_number": "610-917-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Brown
• Brittney M Bruno
• Elizabeth M Burckley, M.S. ED., BCBA
• Adam Burd
• Haley Burdette, BS
• Kristin Burns, IBCLC
• Lawrence M. Butler, DDS
• Steven Buttaro, PHYSICAL THERAPIST
• Michael Bux, MD
• Amy Jane Cadieux, M.D.

• Optometrist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.