Shawnee Sovell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3661 Issued in MN

Practice address

2560 Harvest LN
Owatonna, MN 55060-4305

Phone

(507) 451-3072

Fax

(507) 451-4291

NPI assigned

May 23, 2017

Last updated

Aug 17, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlson Tillisch Eye Clinic LTDGroup PAC ID 3072410521, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Carlson Tillisch Eye Clinic, LTD

  • Optometrist
  • Mankato, MN
  • NPI 1225116932
  Medicare reassignment Care Compare group NPD
• Carlson Tillisch Eye Clinic, LTD

  • Optometrist
  • New Ulm, MN
  • NPI 1821159435
  NPD

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1740718626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 HARVEST LN",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604305",
            "telephone_number": "507-451-3072",
            "fax_number": "507-451-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HARVEST LN",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604305",
            "telephone_number": "507-451-3072",
            "fax_number": "507-451-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVELL",
        "first_name": "SHAWNEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "NA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169223200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Human Relations Center
• South Central Human Relations Center
• South Central Human Relations Center
• South Central Human Relations Center
• Southern Minnesota Sleep Center, PLLC
• Shelby Rae Spandl, M.D.
• Theresa Spear
• Anna Marie Spell, OD
• Lily Spennewyn, MD
• Dominique Rae Stadler, LPN

• Optometrist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.