Individual provider Active NPI

Tatyana Shalapyonok, O.D.

  • Optometrist
  • Nashua, NH
National Provider Identifier
1912212069
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0852 Issued in NH
Practice address
5 Coliseum Ave
Nashua, NH 03063-3206
Phone
(603) 882-9800
NPI assigned
Aug 13, 2010
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002402 PA
Optometrist 152W00000X 0852 NH Primary

Addresses

Primary practice location

5 Coliseum Ave
Nashua, NH 03063-3206

Mailing address

5 Coliseum Ave
Nashua, NH 03063-3206
Phone (603) 882-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20110926000245 NH Practitioner - Optometry 4587835426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashua Eye Associates PAGroup PAC ID 8628961216, 19 clinicians

Practice addresses (Care Compare)

5 Coliseum Ave
Nashua, NH 03063-3292
Phone (603) 882-9800

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
86.44
Promoting interoperability
100
Improvement activities
40
Cost
76.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002402PAMDOptometrist
0852NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keene Vision Limited Partnership Optometrist PastSince Jun 28, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tshalapyonok@nashuaeye.direct.eyemdemr.com

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, 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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1912212069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-882-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-882-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALAPYONOK",
        "first_name": "TATYANA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002402",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.