Individual provider Active NPI

Michele Y. Shade-Hinchliffe, O.D.

  • Optometrist
  • Pottstown, PA
National Provider Identifier
1629127964
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000169 Issued in PA
Practice address
142 Shoemaker Rd
Pottstown, PA 19464-6430
Phone
(610) 326-1106
Fax
(610) 326-1108
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-000169 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X OEG-000169 PA

Addresses

Primary practice location

142 Shoemaker Rd
Pottstown, PA 19464-6430

Mailing address

142 Shoemaker Rd
Pottstown, PA 19464-6430
Phone (610) 326-1106

Other identifiers 3

IdentifierTypeStateIssuer
0514846000OtherPAKEYSTONE EAST
28837OtherPAAETNA
000680822OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20090610000586 PA Practitioner - Optometry 0042360190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shade Eyecare, LLCGroup PAC ID 7214087360, 2 clinicians

Practice addresses (Care Compare)

142 Shoemaker Rd
Pottstown, PA 19464-6430
Phone (610) 326-1106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-000169PAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Shade Eyecare, LLC Optometrist CurrentSince Apr 30, 2009 Accepting new patients
Michele Y Shade, O.D. Optometrist Past Accepting new patients

Locations

142 Shoemaker Rd
Pottstown, PA 19464
Phone (610) 326-1106

142 Shoemaker Rd
Ste E
Pottstown, PA 19464
Phone (610) 326-1106

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1629127964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SHOEMAKER RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646430",
            "telephone_number": "610-326-1106",
            "fax_number": "610-326-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SHOEMAKER RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646430",
            "telephone_number": "610-326-1106",
            "fax_number": "610-326-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE-HINCHLIFFE",
        "first_name": "MICHELE",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000169",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "OEG-000169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0514846000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "28837",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "000680822",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.