Shannon Marr-Walker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E70-TA-C12 Issued in AL

Practice address

3030 Memorial Pkwy SW
Huntsville, AL 35801-5372

Phone

(256) 883-8338

NPI assigned

Dec 28, 2020

Last updated

Jan 22, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Pennsylvania College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Luminous Eye Care, LLC

  • Optometrist
  • Huntsville, AL
  • NPI 1639930068
  Medicare reassignment NPD Authorized official
• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Huntsville, AL
  • NPI 1215968466
  NPD (past)

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1649867458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RANIER ST",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015372",
            "telephone_number": "256-883-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Memorial Pkwy SW Ste 193",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015672",
            "country_code": "US",
            "telephone_number": "256-534-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARR-WALKER",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E70-TA-C12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark L. Midenberg (Whitesburg Podiatry)
• Anderson Markham, LPC
• Edward J Markushewski, MD
• Emily Markwell
• Robert Bruce Marlow, M.D.
• Alex Thomas Marsh, CRNP
• Kimberly Marie Marsh, M.ED., BCABA
• Lakila Marsh
• Sheila Marie Marsh, ALC
• Breana Marshall, LICSW

• Optometrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.