Individual provider Active NPI

John Patrick Sheldon, OD

  • Optometrist
  • Marathon, FL
National Provider Identifier
1952596835
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3277 Issued in FL
Practice address
6400 Overseas Hwy
Marathon, FL 33050-2786
Phone
(205) 743-2020
Fax
(305) 743-3937
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3277 FL Primary

Addresses

Primary practice location

6400 Overseas Hwy
Marathon, FL 33050-2786

Mailing address

6400 Overseas Hwy
Marathon, FL 33050-2786
Phone (205) 743-2020

Other identifiers 1

IdentifierTypeStateIssuer
20945OtherFLBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051013000824 FL Practitioner - Optometry 5890710859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roger a Otto O D P aGroup PAC ID 2163414319, 3 clinicians

Practice addresses (Care Compare)

1444 Kennedy Dr
Key West
Key West, FL 33040-4008
Phone (305) 294-9711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3277FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John P Sheldon OD PA Optometrist CurrentSince Aug 29, 2005 Accepting new patients
Roger a Otto O D P a Optometrist CurrentSince Aug 22, 2025 Accepting new patients

Locations

1444 Kennedy Dr
Key West, FL 33040
Phone (305) 294-7411

6400 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1952596835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502786",
            "telephone_number": "205-743-2020",
            "fax_number": "305-743-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502786",
            "telephone_number": "205-743-2020",
            "fax_number": "305-743-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "20945",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.