Shannon Renee McClure, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT3059 Issued in CO

Practice address

180 Ken Pratt Blvd
Longmont, CO 80501-8974

Phone

(303) 776-4309

NPI assigned

Jun 24, 2014

Last updated

Feb 5, 2021By 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 CO

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lo. Co. Vision Consultants LLCGroup PAC ID 8820413461, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lo. Co. Vision Consultants LLC

  • Optometrist
  • Longmont, CO
  • NPI 1851914824
  Medicare reassignment Care Compare group NPD Authorized official
• Lo. Co. Vision Consultants LLC

  • Optometrist
  • Loveland, CO
  • NPI 1033070131
  NPD Authorized official
• Lo. Co. Vision Consultants LLC

  • Optometrist
  • Erie, CO
  • NPI 1942004940
  NPD (past) Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1699180182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 KEEP CIR",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131372",
            "telephone_number": "952-769-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KEN PRATT BLVD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018974",
            "telephone_number": "303-776-4309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 Sculptor Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805375141",
            "country_code": "US",
            "telephone_number": "970-619-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT3059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather McCarthy
• Brittany Gansar McCarty, PA-C
• David McCarty, DO
• Robert James McCarty, D.D.S.
• Maria J McCloy, OTR
• Kimberley Ann McColl, PHARMD
• Michael S McCormick, MSW
• Murphy McCracken, LPC
• Jenni McDade, MA, NCC
• Chantal Marie McDonald, M.S.P.T.

• Optometrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.