Individual provider Active NPI

Shelby Robinson, OD

  • Optometrist
  • Lufkin, TX
National Provider Identifier
1821722539
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10609T Issued in TX
Practice address
2801 S John Redditt Dr
Lufkin, TX 75904-5666
Phone
(936) 637-2020
NPI assigned
Jul 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10609T TX Primary

Addresses

Primary practice location

2801 S John Redditt Dr
Lufkin, TX 75904-5666

Mailing address

2801 S John Redditt Dr
Lufkin, TX 75904-5666
Phone (936) 637-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221122001982 TX Practitioner - Optometry 6608244652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelina Optometric AssociatesGroup PAC ID 1153324801, 6 clinicians

Practice addresses (Care Compare)

2801 S John Redditt Dr
Lufkin, TX 75904-5666
Phone (409) 637-2020

Merit-based Incentive Payment System (MIPS)

Final score
82.49 of 100Reported as group
Quality
64.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10609TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Optometric Associates Optometrist CurrentSince Oct 12, 2022 Accepting new patients
Eye Center of Jasper, PLLC Optometrist PastSince Jul 17, 2022 Accepting new patients

Locations

2801 S John Redditt Dr
Lufkin, TX 75904
Phone (409) 637-2020

Organizations & group practices 2

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1821722539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045666",
            "telephone_number": "936-637-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045666",
            "telephone_number": "936-637-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10609T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.