Active NPI
Shanna F May, OD
- Optometrist
- Troy, AL
National Provider Identifier
1487622932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-853-TA-409
- Practice address
- 97 Oak Park Dr
Troy, AL 36079-3081 - Phone
- (334) 566-7172
- NPI assigned
- Mar 10, 2006
- Last updated
- Sep 19, 2019
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051532603 | Other | AL | B/C PROVIDER # |
| 009935191 | Medicaid | AL |
Other names 1
- Shanna F Kirk
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000133 | AL | Practitioner - Optometry | 8325054349 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-853-TA-409 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Kirk, LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.