Shim Vision Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHIM VISION GROUP INC

Doing business as

Dalton Optometry

Practice address

415 W Crawford St
Dalton, GA 30720-4267

Phone

(706) 278-6113

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Shim, ODNPI 1598070955

Title

Owner

Phone

(706) 278-6113

Specialties & licenses 1

Addresses

Other names 1

• Dalton Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah E Shim, O.D.

  • Optometrist
  • Dalton, GA
  • NPI 1598070955
  Medicare reassignment NPD Authorized official
• Charles M Smith III, OD

  • Optometrist
  • Dalton, GA
  • NPI 1235148875
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1902471477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W CRAWFORD ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307204267",
            "telephone_number": "706-278-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W CRAWFORD ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307204267",
            "telephone_number": "706-278-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIM VISION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-278-6113",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalton Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Sheahan
• Denise Riddle Sheppard, AUD
• Reginald Robert Sherrill, M.D.
• Preston Tate Shields
• Fikry Shihata, M.D.
• Sarah E Shim, O.D.
• Marinena Rachelle Shirah
• Rudy M Shirley
• Maria Alicia Shoop, PT
• Cynthia A Shuler, APRN,BC

• Optometrist in Dalton, GA
• Providers in Dalton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.