Individual provider Active NPI

Shannon Marie Lamb, OD

  • Optometrist
  • Coppell, TX
National Provider Identifier
1720500168
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9201 Issued in TX
Practice address
541 E Sandy Lake Rd
Coppell, TX 75019-3090
Phone
(972) 393-3937
NPI assigned
Jul 7, 2017
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9201 TX Primary

Addresses

Primary practice location

541 E Sandy Lake Rd
Coppell, TX 75019-3090

Mailing address

541 E Sandy Lake Rd
Coppell, TX 75019-3090
Phone (972) 393-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170804000060 TX Practitioner - Optometry 3173894441 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9201TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Martin, Wedel & Bullard, P.C. Optometrist CurrentSince Aug 1, 2020 Accepting new patients
University of Houston CurrentSince Jul 1, 2017 Accepting new patients
Martin, Wedel & Bullard, P.C. Optometrist Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Martin, Wedel & Bullard, P.C. Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

839 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 645-2411

541 E Sandy Lake Rd
Coppell, TX 75019
Phone (972) 393-3937

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

4901 Calhoun Rd
Rm 2107
Houston, TX 77204
Phone (713) 743-1921

4460 E Highway 287
Ste A
Midlothian, TX 76065
Phone (972) 775-8000

Organizations & group practices 8

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1720500168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193090",
            "telephone_number": "972-393-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193090",
            "telephone_number": "972-393-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.