Shelly Rice OD PC Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2284 Issued in OK

Legal business name

SHELLY RICE OD PC INC

Practice address

512 E Cherokee St
Wagoner, OK 74467-4710

Phone

(918) 485-4775

Fax

(918) 485-7611

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Shelly Deann Rice, ODNPI 1881602407

Title

Owner

Phone

(918) 485-4775

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Rice Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Deann Rice, O.D.

  • Optometrist
  • Wagoner, OK
  • NPI 1881602407
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1932389145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674710",
            "telephone_number": "918-485-4775",
            "fax_number": "918-485-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674710",
            "telephone_number": "918-485-4775",
            "fax_number": "918-485-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY RICE OD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-485-4775",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2284",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "2284",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OK",
            "license": "2284",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "2284",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "OK",
            "license": "2284",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "OK",
            "license": "2284",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "OK",
            "license": "2284",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "2284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761650B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rice Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamilah Scroggins
• Jimmy Todd Self, LPC
• Shade Dialysis LLC
• Jace Evan Sharp, DPT
• Pamela Louise Sharp
• Shepherd'S Care Hospice of Wagoner, LLC
• Valerie Sherman
• Zona Marie Siler
• Marissa Sinclair
• Melissa Slape, MSW U/S

• Optometrist in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.