Darrin C. Shandley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9453T Issued in TX

Practice address

120 Highway 332 W Ste A5
Lake Jackson, TX 77566-4017

Phone

(979) 297-8188

Fax

(979) 297-5410

NPI assigned

Jul 18, 2018

Sex

Male

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Tso Bay City, PLLC

  • Optometrist
  • Bay City, TX
  • NPI 1215542022
  Medicare reassignment NPD Authorized official
• Tso Portland PLLC

  • Optometrist
  • Portland, TX
  • NPI 1245811850
  Medicare reassignment NPD Authorized official
• Brian K. Shandley OD PA

  • Optometrist
  • Lake Jackson, TX
  • NPI 1326262858
  Medicare reassignment

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1467938878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 332 W STE A5",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664017",
            "telephone_number": "979-297-8188",
            "fax_number": "979-297-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 332 W STE A5",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664017",
            "telephone_number": "979-297-8188",
            "fax_number": "979-297-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDLEY",
        "first_name": "DARRIN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9453T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequin Homecare Services LLC
• Claudia Sereno
• Faith Serna, MS, RD, LD
• Mohiuddin Bilal Shamsi, DPM
• Brian K Shandley, OD
• Nicholas Shawver, LPC, LSOTP, LCDC-I
• Abdul Moid Shehzad, MD
• Loni Lynn Shepherd, MD
• Shepherds Pediatric Care
• Roghayeh Shirdel

• Optometrist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.