Shannon Nicole Friedmeyer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002530 Issued in AZ

Practice address

6130 N la Cholla Blvd Ste 245
Tucson, AZ 85741-3698

Phone

(205) 888-6600

NPI assigned

May 29, 2013

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Nicole Mitchell Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates LTDGroup PAC ID 1355232653, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

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

• Eye Associates LTD

  dba Eye Associates of Tucson

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1144477050
  Medicare reassignment Care Compare group NPD
• Eye Associates LTD

  dba Eye Associates of Tucson

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1275756777

  Optometrist

  NPD
• Eye Associates LTD

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1851780019
  NPD
• Ballston Optometry, LLC

  dba My Eye Dr.

  • Optometrist
  • Arlington, VA
  • NPI 1083779094
  NPD (past)
• Doctors on Sight, Optometrists, Inc.

  • Optometrist
  • Waldorf, MD
  • NPI 1700801339
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1598102774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 245",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413698",
            "telephone_number": "205-888-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 245",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413698",
            "telephone_number": "205-888-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMEYER",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2346",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MITCHELL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellis Franklin Friedman, MD
• Janice Friedman, LCSW
• Lisa Judith Friedman, MSW OTRL
• Lucas Friedman, M.D.
• Mark Joel Friedman, MD
• Margaret Anne Fries, AUD
• Kimberly Marie Frigard, SLP
• Kelci Frisby, SLP
• Regina Frisby, M.D.
• Katharine Frischenmeyer, LCSW

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.