Shannon Rae Harvey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2049 Issued in SC

Practice address

367 W Evans St
Florence, SC 29501-3429

Phone

(843) 669-4156

Fax

(843) 664-2121

NPI assigned

Jun 1, 2018

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Indiana University - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stokes Regional Eye CentersGroup PAC ID 0345143186, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharvey@stokeseye.intellechartdirect.net

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.

• Stokes Regional Eye Centers

  • Ophthalmology Physician
  • Florence, SC
  • NPI 1194713636

  Optometrist

  Medicare reassignment Care Compare group NPD
• Stokes Regional Eye Center

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1518955087

  Optometrist

  NPD

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1689166019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "2049",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D20494",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharvey@stokeseye.intellechartdirect.net",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "367 W Evans St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295013429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leanne Marie Harter, RN
• Hartsville Drug Co. Inc.
• Shalonda Detrail Harvey-Reaves, BSW, BS
• Anna Harvey
• Jean L Harvey, CRNA
• Elizabeth S Harvin, M.C.D/CCC/SLP
• Jennifer Harze, MA, CCC-SLP
• Allison Cullipher Hasbrouck, APRN
• Mohammad Abdalla Ali Hatamleh, M.D.
• Kevin O Hatchell, PT

• Optometrist in Florence, SC
• Providers in Florence, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.