Shantel Nicole Nunez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1036 Issued in MS

Practice address

2510 Bienville Blvd
Ocean Springs, MS 39564-3117

Phone

(228) 875-3318

Fax

(228) 875-3398

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

University of Pikeville, Kentucky College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brown Eyed Girls PLLCGroup PAC ID 5496105439, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brown Eyed Girls PLLC

  dba Eyedok

  • Optometrist
  • Ocean Springs, MS
  • NPI 1811770696
  Medicare reassignment Care Compare group NPD Authorized official
• Eyedok Inc

  • Optometrist
  • Ocean Springs, MS
  • NPI 1174862585
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1811568298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643117",
            "telephone_number": "228-875-3318",
            "fax_number": "228-875-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643117",
            "telephone_number": "228-875-3318",
            "fax_number": "228-875-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "SHANTEL",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney J Nichols, P.T.
• Sara-Nicole Nicoles, CRNA
• Paul D Niolet, M.D.
• Angela Parker Noble, NP-C
• North Halstead, LLC (Coastal Pharmacy)
• Patricia R O'Kelley-Hughes, O.D.
• John David Oakes, MSW
• Reva Gayle Oakes, LCSW ACSW
• Ocean Springs Chiropractic LLC
• Ocean Springs Disc Phyc Inc (Ocean Springs Discount Pharmacy)

• Optometrist in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.