Individual provider Active NPI

Todd E Sholey, O.D.

  • Optometrist
  • Rock Springs, WY
National Provider Identifier
1770570970
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
205T Issued in WY
Practice address
544 Broadway St
Rock Springs, WY 82901-6346
Phone
(307) 382-3937
Fax
(307) 382-2918
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 205T WY Primary

Addresses

Primary practice location

544 Broadway St
Rock Springs, WY 82901-6346

Mailing address

544 Broadway St
Rock Springs, WY 82901-6346
Phone (307) 382-3937

Other identifiers 1

IdentifierTypeStateIssuer
103246100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20120105000680 WY Practitioner - Optometry 6002925724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Clinic, PC 3 clinicians

Practice addresses (Care Compare)

544 Broadway St
Rock Springs, WY 82901-6346
Phone (307) 382-3937

Merit-based Incentive Payment System (MIPS)

Final score
82.09 of 100Reported as individual
Quality
64.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Clinic, PC Optometrist CurrentSince Apr 1, 1998 Accepting new patients

Locations

544 Broadway St
Rock Springs, WY 82901
Phone (307) 382-3937

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1770570970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016346",
            "telephone_number": "307-382-3937",
            "fax_number": "307-382-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016346",
            "telephone_number": "307-382-3937",
            "fax_number": "307-382-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLEY",
        "first_name": "TODD",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "205T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103246100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.