Shannon Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004001A Issued in IN

Practice address

5111 N Main St Ste 200
Mishawaka, IN 46545-9047

Phone

(574) 277-8121

Fax

(574) 271-4699

NPI assigned

Oct 26, 2016

Last updated

Jul 16, 2026By 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 IN

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

Merit-based Incentive Payment System (MIPS)

Final score

92.44 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: savena@directaddress.net

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.

• Boling Vision Center, LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1003851445
  Medicare reassignment NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424
  Medicare reassignment NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Bloomington, IN
  • NPI 1003805185
  Medicare reassignment
• Boling Vision Center, LLC

  • Eyewear Supplier
  • Goshen, IN
  • NPI 1467585885
  NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Indianapolis, IN
  • NPI 1265429658
  NPD
• City Optical Co., Inc.

  dba Dr. Tavel Family Eye Care

  • Optometrist
  • Merrillville, IN
  • NPI 1356233068
  NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Mishawaka, IN
  • NPI 1336635770
  NPD
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Munster, IN
  • NPI 1922974526
  NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Muncie, IN
  • NPI 1306070768
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Westfield, IN
  • NPI 1730980046
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Terre Haute, IN
  • NPI 1881683977
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1912459983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N MAIN ST STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465459047",
            "telephone_number": "574-277-8121",
            "fax_number": "574-271-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 S Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202846",
            "country_code": "US",
            "telephone_number": "269-683-4040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Sorin St",
            "address_2": "Apt 1A",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172064",
            "country_code": "US",
            "telephone_number": "630-292-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Smith, DO
• Mark C Smith, DC
• Michele M Smith, FNP-BC
• Monet Lache Smith
• Natasha M Smith
• Madeline McGaw Smous, ACIT
• Ashley Sobecki, BCABA
• Ruth A Sobieralski, MSW
• Kaylie Sobieski
• Ramandeep Sohi, PHARMD, MBA

• Optometrist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.