Michael S. Shields, D.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0871DT Issued in KY

Practice address

221 Allen St
Owensboro, KY 42303-4139

Phone

(270) 685-4966

Fax

(270) 686-8058

NPI assigned

Jul 19, 2005

Last updated

Dec 27, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Riverpark Eyecare PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1508995895
  Medicare reassignment NPD
• Aeg Kentucky Professional, PLLC

  • Optometrist
  • Alton, IL
  • NPI 1467214080
  NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1609875848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ALLEN ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034139",
            "telephone_number": "270-685-4966",
            "fax_number": "270-686-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ALLEN ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034139",
            "telephone_number": "270-685-4966",
            "fax_number": "270-686-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0871DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77008712",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000049823",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Daniel Shepherd, DMD
• Jessica Sheridan-Babare, DO
• Shane Sheriff, LPCC, LCADC
• Whitney Sheriff, LPCA
• Ali Shewcraft, R.D.
• Elizabeth A Shinkle
• Kebede W Shire, M.D.
• Shoe Stop Inc
• Stephanie Shourds
• Haley Shrewsberry, ATC

• Optometrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.

Verify at the official NPI Registry.