Individual provider Active NPI

Steffie Shine

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1972474559
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003690 Issued in GA
Practice address
2061 Beverly Rd
Gainesville, GA 30501-2034
Phone
(770) 532-4444
Fax
(770) 053-5185
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003690 GA Primary

Addresses

Primary practice location

2061 Beverly Rd
Gainesville, GA 30501-2034

Mailing address

2061 Beverly Rd
Gainesville, GA 30501-2034
Phone (770) 532-4444

Other practice location 1

1100 Johnson Fy Rd NE Bldg 1
Atlanta, GA 30342-1709
Phone (404) 531-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260609000210 GA Practitioner - Optometry 2163993312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene B Gabianelli MD and Assoc LLCGroup PAC ID 5193702512, 30 clinicians

Practice addresses (Care Compare)

10080 Medlock Bridge Rd
Johns Creek, GA 30097-2010
Phone (770) 623-3931

1100 Johnson Ferry Rd
Suite 105
Atlanta, GA 30342-1733
Phone (404) 531-9988

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003690GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC Current Accepting new patients
Eugene B Gabianelli MD & Assoc LLC Optometrist Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

290 Merchants Sq
Ste I
Dallas, GA 30132
Phone (770) 445-8885

200 E Ponce de Leon Ave
Ste 200
Decatur, GA 30030
Phone (404) 298-5557

3800 Pleasant Hill Rd
Ste 3
Duluth, GA 30096
Phone (678) 584-0400

10080 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (404) 897-6810

130 Vann St NE
Ste 230
Marietta, GA 30060
Phone (404) 425-1341

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

120 Stonebridge Pkwy
Ste 415
Woodstock, GA 30189
Phone (404) 953-4044

Interoperability endpoints

  • Direct secure messaging: sshine@espgep.intellechartdirect.net

Organizations & group practices 3

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1972474559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444",
            "fax_number": "770-535-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444",
            "fax_number": "770-053-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Johnson Fy Rd NE Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421709",
            "country_code": "US",
            "telephone_number": "404-531-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINE",
        "first_name": "STEFFIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.