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SHETTLE FAMILY EYE CARE & EYE WEAR
NPI 1265674733
Eyewear Supplier in St Petersburg, FL

Active since March 30, 2009
4200 4TH ST N, SUITE F, ST PETERSBURG, FL 33703(727) 528-2015(727) 528-2010 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shettle Family Eye Care & Eye Wear NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHETTLE FAMILY EYE CARE & EYE WEAR (NPI 1265674733) is a healthcare organization registered as an eyewear supplier in St Petersburg, Florida and active in the NPI registry since March 2009. The organization lists David Scott Shettle, Optometrist/owner/president, as its authorized official.

NPPES Registry Identity

NPI1265674733
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameD SCOTT SHETTLE OD PA
Location Address4200 4TH ST N, SUITE FSt Petersburg, FL 33703-4735
Mailing Address1084 Riverside Ridge RdTarpon Springs, FL 34688-8802 · (727) 422-2940
Phone(727) 528-2015
Fax(727) 528-2010
Organization SubpartNo
Authorized OfficialDavid Scott ShettleOptometrist/owner/president · (727) 422-2940
Enumeration DateMarch 30, 2009
Last NPPES UpdateNovember 24, 2009
✔ NPI 1265674733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in FL · OPC 2753
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4200 4TH ST N, St Petersburg, FL 33703
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Other Names 1

Doing Business AsShettle Family Eye Care & Eye Wear

Other Identifiers 1

Medicare NSC6273020001FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shettle Family Eye Care & Eye Wear is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shettle Family Eye Care & Eye Wear, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

David Shettle, O.D.
Optometry
NPI 1740280130
4200 4TH ST N SUITE F
St Petersburg, FL 33703
(727) 528-2015
✔ PECOS✔ Accepts MedicareSame address
Logan Shettle, O.D.
Optometry
NPI 1417847880
8501 4TH ST N
St Petersburg, FL 33702
(727) 528-2015
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D Scott Shettle Od PA's NPI number?

The NPI number for D Scott Shettle Od PA is 1265674733. It was assigned to this organization in the NPPES registry on March 30, 2009. The provider is doing business as Shettle Family Eye Care & Eye Wear.

Where is D Scott Shettle Od PA located?

D Scott Shettle Od PA is located at 4200 4th St N Suite F, St Petersburg, FL 33703. The listed phone number is (727) 528-2015.

What is D Scott Shettle Od PA's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is D Scott Shettle Od PA enrolled in Medicare?

Yes. D Scott Shettle Od PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through D Scott Shettle Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to D Scott Shettle Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does D Scott Shettle Od PA accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list D Scott Shettle Od PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for D Scott Shettle Od PA was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.