Shannon Franklin Shelley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2809 Issued in TN

Practice address

25 N Main St
Sparta, TN 38583-2063

Phone

(931) 836-2235

Fax

(931) 836-3036

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

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 and National Provider Directory roles.

• Mullins Vision South, PLLC

  • Optometrist
  • Sparta, TN
  • NPI 1972141877
  Medicare reassignment NPD
• Lighthouse Optical of Tennessee, LLC

  • Optometrist
  • Cookeville, TN
  • NPI 1609066703
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1770745879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MAIN ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385832063",
            "telephone_number": "931-836-2235",
            "fax_number": "931-836-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MAIN ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385832063",
            "telephone_number": "931-836-2235",
            "fax_number": "931-836-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "SHANNON",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507008",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Thomas River Park Hospital, LLC
• R. Craig Saunders, M.D.
• Linda Savage, PT
• Elizabeth Rose Scott, FNP-C
• Addison Selby
• Silver Connections, LLC
• Catherine Brown Simpson, PHARMD
• Oscar Dale Sims
• Kayla Danielle Smith, PHARM. D.
• Kevin Cecil Smith, D.D.S.

• All providers in Sparta, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.