Individual provider Active NPI

Shelby Riley, OD

  • Optometrist
  • Greenwood Village, CO
National Provider Identifier
1700349560
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3562 Issued in CO
Practice address
7400 E Orchard Rd Ste 175-S
Greenwood Village, CO 80111-2631
Phone
(303) 850-9499
Fax
(303) 850-7032
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3562 CO Primary

Addresses

Primary practice location

7400 E Orchard Rd Ste 175-S
Greenwood Village, CO 80111-2631

Mailing address

7400 E Orchard Rd Ste 175-S
Greenwood Village, CO 80111-2631
Phone (303) 850-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200630000175 CO Practitioner - Optometry 7810319365 Reassigns benefits to 1 organization
I20200817002819 CA Practitioner - Optometry 7810319365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hellerstein and Brenner Vision Center P.C.Group PAC ID 0042101560, 5 clinicians

Practice addresses (Care Compare)

7400 E Orchard Rd
Suite 175 S
Greenwood Village, CO 80111-2528
Phone 303850949917

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34247CAMDClinical Psychologist
3562COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Marshall B. Ketchum University Optometrist Current Accepting new patients
Marshall B. Ketchum University/University Eye Center at Los Angeles Optometrist CurrentSince Aug 20, 2020 Accepting new patients
Marshall B. Ketchum University CurrentSince Aug 20, 2020 Accepting new patients
Hellerstein & Brenner Vision Center P.C. Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients

Locations

5092 Warner Ave
Huntington Beach, CA 92649
Phone (714) 816-4479

3916 S Broadway
Los Angeles, CA 90037
Phone (323) 234-9137

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1700349560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD STE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112631",
            "telephone_number": "303-850-9499",
            "fax_number": "303-850-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD STE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112631",
            "telephone_number": "303-850-9499",
            "fax_number": "303-850-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SHELBY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.