Individual provider Active NPI

Shane Patrick Mulvihill, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1871942441
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3569 Issued in TN
Practice address
10741 Kingston Pike
Knoxville, TN 37934-3002
Phone
(865) 218-7716
Fax
(865) 951-7318
NPI assigned
Jun 6, 2016
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3569 TN Primary

Addresses

Primary practice location

10741 Kingston Pike
Knoxville, TN 37934-3002

Mailing address

10741 Kingston Pike
Knoxville, TN 37934-3002

Other practice location 1

10252 Hardin Valley Rd
Knoxville, TN 37932-1609
Phone (865) 243-8260

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200929003790 TN Practitioner - Optometry 3678844537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyexcel, PLLCGroup PAC ID 4688764012, 2 clinicians

Practice addresses (Care Compare)

10252 Hardin Valley Rd
Knoxville, TN 37932-1609
Phone (865) 243-8260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision 865 Optometry PLLC Optometrist CurrentSince May 19, 2026 Accepting new patients
Blount County Eye Center, PLLC Optometrist CurrentSince May 26, 2020 Accepting new patients
Eyexcel, PLLC Optometrist CurrentSince Oct 5, 2020 Accepting new patients
Eyexcel, PLLC Optometrist CurrentSince Oct 5, 2020 Accepting new patients

Locations

10252 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 243-8260

10741 Kingston Pike
Knoxville, TN 37934
Phone (440) 823-2465

715 Callahan Dr
Knoxville, TN 37912
Phone (865) 243-8260

702 S Foothills Plaza Dr
Maryville, TN 37801
Phone (865) 982-6761

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1871942441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10741 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343002",
            "telephone_number": "865-218-7716",
            "fax_number": "865-951-7318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10252 Hardin Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379321609",
            "country_code": "US",
            "telephone_number": "865-243-8260",
            "fax_number": "865-243-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVIHILL",
        "first_name": "SHANE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.