Margaret Mary Shipitalo, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

3646 Issued in MN

Practice address

6099 Wayzata Blvd Ste 100-120
St Louis Park, MN 55416-5538

Phone

(952) 204-5060

Fax

(952) 204-9060

NPI assigned

Jul 11, 2018

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

Electronic endpoints 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

Ohio State University - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ovo Lasik and Lens LLCGroup PAC ID 8921497751, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mshipitalo@ovoll.intellechartdirect.net

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.

• Ovo Lasik and Lens LLC

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1770259087
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1760968895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 100-120",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060",
            "fax_number": "952-204-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 100-120",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060",
            "fax_number": "952-204-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPITALO",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006635",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "margaret.shipitalo@ovoeye.com",
            "affiliation": "N",
            "address_1": "6099 Wayzata Blvd Ste 100-120",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554165538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lydia Nyakonu Sherman, CNP
• Melissa M Sherman
• Sheron Home Health Care, LLC
• William S Shimp
• Jacob Shimpa, PHARM D
• Omri Shochatovitz
• Sholom Community Alliance Home Health Care
• Sholom Community Alliance Home Health Care
• Sholom Community Alliance Home Health Care
• Sholom Community Alliance, LLC

• Optometrist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.