Richard Michael Shetzline, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5549 Issued in NJ

Practice address

4423 Rte 130 South
Burlington, NJ 08016

Phone

(609) 386-0202

Fax

(609) 386-5927

NPI assigned

Nov 21, 2006

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Richboro PCGroup PAC ID 0143346288, 6 clinicians

Robert D. Levy PCGroup PAC ID 2466445432, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Associates of Richboro PC

  • Optometrist
  • Richboro, PA
  • NPI 1033445630

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Robert D. Levy PC

  dba Drs Eyecare

  • Optometrist
  • Burlington, NJ
  • NPI 1154481042

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1922173251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 RTE 130 SOUTH",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-386-0202",
            "fax_number": "609-386-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 RTE 130 SOUTH",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-386-0202",
            "fax_number": "609-386-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETZLINE",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8757501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Severino
• Jaclyn Shaffer
• Sonta Shannon, LPN
• Carol Shaw
• Ying Shen, PHARM.D
• Ravleen Sidhu
• Robert Siefring, MD
• Silver Dental Associates, L.L.C.
• Bruce Lee Silver, D.M.D.
• Lindsay Sim

• Optometrist in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.