Andrew Meyer Shum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3317 Issued in TN

Practice address

2109 West St
Suite #1
Germantown, TN 38138-3837

Phone

(901) 754-6020

Fax

(901) 754-9882

NPI assigned

May 9, 2016

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 TN

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

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optical Boutique Family EyecareGroup PAC ID 0143670414, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optical Boutique Family Eyecare

  • Optometrist
  • Germantown, TN
  • NPI 1891569711
  Medicare reassignment Care Compare group NPD
• Steven R. Shum

  • Corneal and Contact Management Optometrist
  • Germantown, TN
  • NPI 1932395506
  Medicare reassignment NPD

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1528414547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 WEST ST",
            "address_2": "SUITE #1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383837",
            "telephone_number": "901-754-6020",
            "fax_number": "901-754-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 WEST ST",
            "address_2": "SUITE #1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383837",
            "telephone_number": "901-754-6020",
            "fax_number": "901-754-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUM",
        "first_name": "ANDREW",
        "middle_name": "MEYER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzma Khanum Shirwany
• Elizabeth Shmikler, PHD
• David Shoop, PHARM.D.
• Laura Thornton Shores, M.A., CCC-SLP
• Shot Nurse-Memphis, P.C. (The Shot Nurse)
• Leon Shum, DO
• Steven R. Shum, O.D.
• Pamela Patteson Shumake, LCSW
• William R. Shurley III, M.D.
• Susan Sigman, M.S. CCC-SLP

• Optometrist in Germantown, TN
• Providers in Germantown, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.