Shannon Mihalacki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001438 Issued in PA

Practice address

187 Scharberry LN
Mars, PA 16046-2429

Phone

(724) 591-5501

NPI assigned

Apr 6, 2007

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@shannonmihalackiodmarspa.compulinkdirect.com

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.

• Aeg Pennsylvania Professional Inc

  dba Eyes on Regent Square

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  Medicare reassignment Care Compare group NPD
• Clear Vision Family Eyecare, LLC

  • Optometrist
  • Mars, PA
  • NPI 1174700298
  Authorized official Same address or phone
• Aeg Pennsylvania Professional, Inc

  dba Eyetique -Shadyside

  • Optometrist
  • Pittsburgh, PA
  • NPI 1932604220
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1912029000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 SCHARBERRY LN",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462429",
            "telephone_number": "724-742-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 SCHARBERRY LN",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462429",
            "telephone_number": "724-591-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALACKI",
        "first_name": "SHANNON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mhy Family Services
• Mhy Family Services
• Mhy Family Services
• Mhy Family Services
• Mhy Family Services
• Joshua Wilson Miller, PHARM D.
• Joanna Halina Miscavige, PT
• Meghan A Mitchell, OTRL
• Nichole Monday, LPC
• Brett P Moore, OD

• Optometrist in Mars, PA
• Providers in Mars, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.