Shappley Eye Clinic PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

542 Issued in MS

Legal business name

SHAPPLEY EYE CLINIC PLLC

Practice address

804 Childs St
Corinth, MS 38834-4933

Phone

(662) 286-6171

Fax

(662) 287-3937

NPI assigned

Apr 23, 2007

Last updated

Feb 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert W ShappleyNPI 1003034380

Title

Owner-Manager

Phone

(662) 286-6171

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert W Shappley

  • Optometrist
  • Corinth, MS
  • NPI 1003034380
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1992923171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 CHILDS ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344933",
            "telephone_number": "662-286-6171",
            "fax_number": "662-287-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CHILDS ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344933",
            "telephone_number": "662-286-6171",
            "fax_number": "662-287-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPPLEY EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SHAPPLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "662-286-6171",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "425233202A",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015503",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410044588",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "168727",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "57711",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "18147",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Galyean Settlemires, CFNP-BC
• Nathan Sexton, MS
• Robert G Sexton, MD
• Leyn Bashar Shakhtour, MD
• Daebreon Shanks
• Robert W Shappley
• Sasha Sharifi, MD
• Marryum Rizwan Sheikh, MD
• Sherrill B Stewart,MDPC (Sherrrill B Stewart MD)
• Sherry D. Callahan (North Corinth Family Clinic)

• Optometrist in Corinth, MS
• Providers in Corinth, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.