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OPTICAL BOUTIQUE FAMILY EYECARE
NPI 1891569711
Optometrist in Germantown, TN

Active since November 10, 2023
2109 WEST ST, GERMANTOWN, TN 38138(901) 754-6020 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optical Boutique Family Eyecare NPPES

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

OPTICAL BOUTIQUE FAMILY EYECARE (NPI 1891569711) is a healthcare organization registered as an optometrist in Germantown, Tennessee and active in the NPI registry since November 2023. The organization lists Brister Shum, Manager, as its authorized official.

NPPES Registry Identity

NPI1891569711
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTICAL BOUTIQUE FAMILY EYECARE
Location Address2109 WEST STGermantown, TN 38138-3833
Mailing Address2109 West StGermantown, TN 38138-3833 · (901) 754-6020
Phone(901) 754-6020
Organization SubpartNo
Authorized OfficialBrister ShumManager · (901) 754-6020
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1891569711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
2109 WEST ST, Germantown, TN 38138
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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 SINGLE SPECIALTY GROUP

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)

Optical Boutique Family Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Optical Boutique Family Eyecare, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Danielle Hebert, OD
Optometry
NPI 1831768407
2109 WEST ST
Germantown, TN 38138
(901) 754-6020
✔ PECOS✔ Accepts MedicareSame address
Andrew Shum, O.D.
Optometry
NPI 1528414547
2109 WEST ST SUITE #1
Germantown, TN 38138
(901) 754-6020
✔ PECOS✔ Accepts MedicareSame address
Steven Shum, O.D.
Optometry
NPI 1710991872
2109 WEST ST SUITE 1
Germantown, TN 38138
(901) 754-6020
✔ PECOS✔ Accepts MedicareSame address

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 Optical Boutique Family Eyecare's NPI number?

The NPI number for Optical Boutique Family Eyecare is 1891569711. It was assigned to this organization in the NPPES registry on November 10, 2023.

Where is Optical Boutique Family Eyecare located?

Optical Boutique Family Eyecare is located at 2109 West St, Germantown, TN 38138. The listed phone number is (901) 754-6020.

What is Optical Boutique Family Eyecare's specialty?

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

Is Optical Boutique Family Eyecare enrolled in Medicare?

Yes. Optical Boutique Family Eyecare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optical Boutique Family Eyecare?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Optical Boutique Family Eyecare. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optical Boutique Family Eyecare 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 Optical Boutique Family Eyecare 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 Optical Boutique Family Eyecare was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.