Individual provider Active NPI

Shalonda McCallum, O.D.

  • Optometrist
  • Hallandale Beach, FL
National Provider Identifier
1649649146
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5136 Issued in FL
Practice address
1935 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4708
Phone
(954) 458-2112
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5136 FL Primary

Addresses

Primary practice location

1935 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4708

Mailing address

1935 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4708
Phone (954) 458-2112

Other practice location 1

1050 N Federal Hwy
Hollywood, FL 33020-3540
Phone (954) 458-2112

Other identifiers 1

IdentifierTypeStateIssuer
110978900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160202001698 FL Practitioner - Optometry 2769786391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanley D Braverman MD PAGroup PAC ID 2961392568, 8 clinicians
Aran Eye Associates PAGroup PAC ID 4486615770, 32 clinicians

Practice addresses (Care Compare)

1050 N Federal Hwy
Braverman Eye Center
Hollywood, FL 33020-3540
Phone (954) 458-2112

1097 SW Lejuene Rd
Coral Gables, FL 33134-2639
Phone 3054422020147

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
75.46
Promoting interoperability
79
Improvement activities
40
Cost
73.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5136FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aran Eye Associates PA CurrentSince Sep 1, 2024 Accepting new patients
Aran Eye Associates PA CurrentSince Sep 1, 2024 Accepting new patients

Locations

7600 Corporate Center Dr
Miami, FL 33126

14601 SW 29th St
Ste 210
Miramar, FL 33027

14201 W Sunrise Blvd
#101101
Sunrise, FL 33323
Phone (954) 838-1382

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shalonda.mccallumod.p6@direct.araneyeassociates.nextgenshare.com
  • Direct secure messaging: shalonda.mccallum.p1@direct.araneyeassociates.nextgenshare.com
  • Direct secure messaging: shalonda.mccallum.d1.p1@direct.araneyeassociates.nextgenshare.com
  • Direct secure messaging: shalonda.mccallum.p6@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 3

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1649649146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094708",
            "telephone_number": "954-458-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094708",
            "telephone_number": "954-458-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330203540",
            "country_code": "US",
            "telephone_number": "954-458-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "SHALONDA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110978900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.