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DR. LOGAN SCOTT SHETTLE O.D.
NPI 1417847880
Optometrist in St Petersburg, FL

Active since July 08, 2025PECOS EnrolledAccepts Medicare Assignment
8501 4TH ST N, ST PETERSBURG, FL 33702(727) 528-2015(727) 528-2015 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Logan Scott Shettle O.d. NPPES

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

DR. LOGAN SCOTT SHETTLE O.D. (NPI 1417847880) is an individual optometrist in St Petersburg, Florida, licensed in Florida (6747) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2025).

NPPES Registry Identity

NPI1417847880
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LOGAN SCOTT SHETTLECredential: O.D.
Location Address8501 4TH ST NSt Petersburg, FL 33702-3110
Mailing Address8501 4th St NSt Petersburg, FL 33702-3110 · (727) 528-2015 · Fax (727) 528-2010
Phone(727) 528-2015
Fax(727) 528-2015
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2025
Enumeration DateJuly 8, 2025
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1417847880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · 6747
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8501 4TH ST N, St Petersburg, FL 33702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Logan Scott Shettle O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567963465
PECOS Enrollment IDI20250902001441
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TB EYE CARE PA
Optometrist
8501 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 578-2020
MYEYEDR OPTOMETRY OF FLORIDA, LLC
Optometrist
8501 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 578-2020

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 Logan Shettle's NPI number?

The NPI number for Logan Shettle is 1417847880. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Logan Shettle located?

Logan Shettle practices at 8501 4th St N, St Petersburg, FL 33702. The listed phone number is (727) 528-2015.

What is Logan Shettle's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Logan Shettle enrolled in Medicare?

Yes. Logan Shettle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Logan Shettle accept?

Health plans from Providence Health Plan list Logan Shettle 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 Logan Shettle was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.