Active NPI
Rachel Shewmake, O.D.
- Optometrist
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02996
- Practice address
- 297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309 - Phone
- (573) 651-5200
- Fax
- (573) 651-3743
- NPI assigned
- May 16, 2006
- 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 | T02996 | MO | Primary |
Addresses
Primary practice location
297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Mailing address
1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106598 | Other | ANTHEM BLUE CROSS BLUE SHIELD | |
| 410039298 | Other | MO | MEDICARE RAILROAD |
| 046008418 | Medicaid | IL | |
| MO2996 | Other | EYEMED | |
| 0814870006 | Other | MO | MEDICARE NSC NUMBER |
| 0814870015 | Other | MO | MEDICARE NSC NUMBER |
| 313901407 | Medicaid | MO | |
| 050266 | Other | HEALTH ALLIANCE | |
| 0814870013 | Other | MO | MEDICARE NSC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
212 S Main St
Sikeston, MO 63801-3034
Phone (573) 472-8181
297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02996 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Eye Centers LTD. | Optometrist | Current | Accepting new patients |
| Marion Eye Centers LTD. | Optometrist | Current | Accepting new patients |
Locations
1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290
297 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 651-5200
212 S Main St
Sikeston, MO 63801
Phone (573) 472-8181
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Sparta, IL
- NPI 1982894465
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1568414829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-997-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 S SILVER SPRINGS RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036309",
"telephone_number": "573-651-5200",
"fax_number": "573-651-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEWMAKE",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "106598",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410039298",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008418",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MO2996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870006",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870015",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313901407",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "050266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870013",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.