Shelby Nicole May-Parmley, OD

Key facts

NPI

1689285157

Entity type

Individual (NPI type 1)

Primary specialty

Vision Therapy Optometrist 152WV0400X

License

3697 (MN)

Practice address

1800 2ND St NE
Minneapolis, MN 55418-4306

Phone

(901) 289-2354

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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.

• Aria Vision Care, LLC Optometrist · Overland Park, KS · NPI 1992370993
  Medicare reassignment Care Compare group NPD IL
• Southern College of Optometry Optometrist · Memphis, TN · NPI 1851384986
  NPD VISION THERAPY

Medicare Care Compare profile

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aria Vision Care, LLC (8 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Shelby Nicole May Professional name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2020.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1689285157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 WAYZATA BLVD APT 310",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 2ND ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184306",
            "telephone_number": "901-289-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY-PARMLEY",
        "first_name": "SHELBY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MN",
            "license": "3697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "MAY",
            "middle_name": "NICOLE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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