Shannon Leigh Brown Blackwood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2270 Issued in NC

Practice address

645 Patton Ave
Asheville, NC 28806-3834

Phone

(828) 251-1290

NPI assigned

Jul 9, 2012

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision LLCGroup PAC ID 2860793817, 2 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 and National Provider Directory roles.

• Family Vision LLC

  • Optometrist
  • Asheville, NC
  • NPI 1619341534
  Medicare reassignment Care Compare group NPD
• Risk Optometric Associates, PA

  • Optometrist
  • Fayetteville, NC
  • NPI 1073584157
  Medicare reassignment NPD
• Clark Optometric Center PA

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1821353566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUMMERGLEN DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069524",
            "telephone_number": "803-984-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PATTON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063834",
            "telephone_number": "828-251-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "SHANNON",
        "middle_name": "LEIGH BROWN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1701",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Blackburn, PAC
• Meredith June Blackburn, PHD
• Robert Jackson Blackburn Jr., DMD
• Gabriella Catherine Blackmon, MSW/ PENDING LCSW-A
• Anna Renee Blackshear
• Siara Leone Blackwood, RDMS, RVT
• Paige Annastasia Blaha, LCMHC-A, LCAS-A, ATR
• Kathleen Blair, PT, DPT
• Greg Blais, P.T.
• Brianna Tipton Blake, PA

• Optometrist in Asheville, NC
• Providers in Asheville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.