Individual provider Active NPI

Shannon Alisha Howell, O.D.

  • Optometrist
  • Marion, VA
National Provider Identifier
1861988610
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002689 Issued in VA
Practice address
1020 Terrace Dr Ste 100
Marion, VA 24354-4392
Phone
(276) 783-5157
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002689 VA Primary

Addresses

Primary practice location

1020 Terrace Dr Ste 100
Marion, VA 24354-4392

Mailing address

1020 Terrace Dr Ste 100
Marion, VA 24354-4392
Phone (276) 783-5157

Other practice location 1

2308 Cedar Valley Dr
Cedar Bluff, VA 24609-9302
Phone (276) 964-4171

Other identifiers 1

IdentifierTypeStateIssuer
0618002689OtherVAOPTOMETRY LISCENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181101000229 VA Practitioner - Optometry 2668725011 Reassigns benefits to 1 organization
I20181218004083 TN Practitioner - Optometry 2668725011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Professional Group PLLCGroup PAC ID 5799040184, 11 clinicians

Practice addresses (Care Compare)

1020 Terrace Dr
Suite 100
Marion, VA 24354-4392
Phone (276) 783-5157

321 Midway Medical Park
Suite 2
Bristol, TN 37620-1652
Phone (276) 783-5157

Merit-based Incentive Payment System (MIPS)

Final score
72.65 of 100Reported as group
Quality
45.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3489TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Professional Group, PLLC CurrentSince Aug 20, 2018 Accepting new patients

Locations

321 Midway Medical Park
Ste 2
Bristol, TN 37620
Phone (276) 783-5157

699 McBroom St NW
Ste A
Abingdon, VA 24210
Phone (276) 628-1143

2308 Cedar Valley Dr
Cedar Bluff, VA 24609
Phone (276) 963-9616

1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157

1020 Terrace Dr
Marion, VA 24354
Phone (276) 783-2511

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1861988610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR STE 100",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR STE 100",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2308 Cedar Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "246099302",
            "country_code": "US",
            "telephone_number": "276-964-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "SHANNON",
        "middle_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LISCENSE NUMBER",
            "identifier": "0618002689",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.