SHELLEY EYECARE
NPI 1780784769
Optometrist in Shelley, ID

Q: What is Parkway Eyecare PC's NPI number?

The NPI number for Parkway Eyecare PC is 1780784769. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Shelley Eyecare.

Q: What is Parkway Eyecare PC's specialty?

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

Active since September 22, 2006

524 N STATE ST, SHELLEY, ID 83274(208) 357-5733(208) 357-2240 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shelley Eyecare NPPES

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

SHELLEY EYECARE (NPI 1780784769) is a healthcare organization registered as an optometrist in Shelley, Idaho and active in the NPI registry since September 2006. The organization lists Kristan C Sparks, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1780784769

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePARKWAY EYECARE PC

Location Address524 N STATE STShelley, ID 83274-1154

Mailing Address524 N State StShelley, ID 83274-1154 · (208) 357-5733 · Fax (208) 357-2240

Phone(208) 357-5733

Fax(208) 357-2240

Organization SubpartNo

Authorized OfficialKristan C SparksOptometrist · (208) 357-5733

Enumeration DateSeptember 22, 2006

Last NPPES UpdateApril 27, 2016

✔ NPI 1780784769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in ID · ODP 638✔ Licensed in ID · ODP 100034

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.

524 N STATE ST, Shelley, ID 83274

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Other Names 1

Doing Business AsShelley Eyecare

Other Identifiers 2

Medicaid806877400ID

Medicare NSC5120430002ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Shelley Eyecare carries, from the Medicare DMEPOS supplier directory.

Shelley Eyecare

DMEPOS supplier · Shelley, IDOperated by Parkway Eyecare P C

✔

Accepts Medicare assignment

Shelley Eyecare agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20588147

Medicare Participant SinceJune 10, 2004

Supplier Location524 N State StShelley, ID 83274

Phone(208) 357-5733

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Parkway Eyecare PC's NPI number?

The NPI number for Parkway Eyecare PC is 1780784769. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Shelley Eyecare.

Where is Parkway Eyecare PC located?

Parkway Eyecare PC is located at 524 N State St, Shelley, ID 83274. The listed phone number is (208) 357-5733.

What is Parkway Eyecare PC's specialty?

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

Does Parkway Eyecare PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Shelley Eyecare accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Parkway Eyecare PC accept?

Health plans from BlueCross BlueShield of Tennessee list Parkway Eyecare PC 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 Parkway Eyecare PC was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.