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DR. CORINNA MARIE SHELLEY O.D.
NPI 1922281930
Optometrist - Vision Therapy in Tracy, CA

Active since December 12, 2007PECOS Enrolled
2104 W GRANT LINE RD, TRACY, CA 95377(209) 229-8611(209) 229-8559 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Corinna Marie Shelley O.d. NPPES

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

DR. CORINNA MARIE SHELLEY O.D. (NPI 1922281930) is an individual vision therapy provider in Tracy, California, licensed in California (OPT 13351 TPA) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922281930
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameDR. CORINNA MARIE SHELLEYCredential: O.D.
Location Address2104 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address2104 W Grant Line RdTracy, CA 95377-7309 · (209) 229-8611 · Fax (209) 229-8559
Phone(209) 229-8611
Fax(209) 229-8559
Sole ProprietorNo
Enumeration DateDecember 12, 2007
Last NPPES UpdateMay 18, 2010
✔ NPI 1922281930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in CA · OPT 13351 TPA
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
2104 W GRANT LINE RD, Tracy, CA 95377
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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Corinna Marie Shelley O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Corinna Shelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Optometry Of Tracy Inc
Same address
Vision Therapy
2104 W GRANT LINE RD
Tracy, CA 95377
  • Reassigned Medicare billing, California enrollment
NPI 1154634236 (209) 229-8611

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95377 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

FAMILY OPTOMETRY OF TRACY INC
Optometrist (Vision Therapy)
2104 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 229-8611
JESSICA SIU
Optometrist
2104 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 229-8611

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 Corinna Shelley's NPI number?

The NPI number for Corinna Shelley is 1922281930. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Corinna Shelley located?

Corinna Shelley practices at 2104 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 229-8611.

What is Corinna Shelley's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Corinna Shelley enrolled in Medicare?

Yes. Corinna Shelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Corinna Shelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corinna Shelley reassigns Medicare benefits to Family Optometry Of Tracy Inc (Tracy, CA). The 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 Corinna Shelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Corinna Shelley 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 Providence Health Plan list Corinna Shelley 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 Corinna Shelley was last updated on May 18, 2010. 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.