Individual provider Active NPI

Shanna F May, OD

  • Optometrist
  • Troy, AL
National Provider Identifier
1487622932
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-853-TA-409 Issued in AL
Practice address
97 Oak Park Dr
Troy, AL 36079-3081
Phone
(334) 566-7172
NPI assigned
Mar 10, 2006
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-853-TA-409 AL Primary

Addresses

Primary practice location

97 Oak Park Dr
Troy, AL 36079-3081

Mailing address

97 Oak Park Dr
Troy, AL 36079-3081
Phone (334) 566-7172

Other identifiers 2

IdentifierTypeStateIssuer
051532603OtherALB/C PROVIDER #
009935191MedicaidAL

Other names 1

  • Shanna F Kirk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20060301000133 AL Practitioner - Optometry 8325054349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-853-TA-409ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Kirk, LLC Optometrist CurrentSince Mar 15, 2007 Accepting new patients
D & J Optical Inc Optometrist Past Accepting new patients
D & J Optical Inc Optometrist Past Accepting new patients

Locations

97 Oak Park Dr
Troy, AL 36079
Phone (334) 403-0627

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1487622932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 OAK PARK DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360793081",
            "telephone_number": "334-566-7172",
            "fax_number": "334-566-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 OAK PARK DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360793081",
            "telephone_number": "334-566-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "SHANNA",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-853-TA-409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C PROVIDER #",
            "identifier": "051532603",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935191",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "KIRK",
            "middle_name": "F",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.