MRS. SHERRY LYNNE SHEPHERD – Optometrist, NPI 1417012956

MRS. SHERRY LYNNE SHEPHERD is a healthcare provider. based in Pueblo, Colorado. specializing in OPTOMETRY. They hold a License No. 2337 (CO). The NPI Number for MRS. SHERRY LYNNE SHEPHERD is 1417012956

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHERRY LYNNE SHEPHERD
NPI
1417012956
Phone
(719) 545-1530
Address
27 MONTEBELLO RD
Enumeration Date
26 December 2006
Last Update Date
6 December 2012

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3037459400
Graduation Year
2002 (24 years ago)
PAC ID
9739267154
Group Practice PAC ID
9537597828
Professional Enrollment ID
I20080424000526
Address ID
CO800172066AU15320PKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

857 OPTOMETRY in CO

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Provider Addresses for MRS. SHERRY LYNNE SHEPHERD

  • Montebello Road, Pueblo, Pueblo County, Colorado, 81001, United States

    PUEBLO, CO 810011236

    Phone: (719) 545-1530

    Fax: (719) 545-2899

    Type: Mailing

  • 102, Santa Fe Avenue, La Junta, Otero County, Colorado, 81050, United States

    LA JUNTA, CO 810501523

    Phone: (719) 384-8719

    Fax: (719) 384-8738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,041.

Total Amount is formed as General ($1,041) + Research ($0) + Ownership ($0) = $1,041.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($387).

Total Amount

$1,041

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,041

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080424000526IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537597828View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YIA
-CO
O P T O M E T R YIA
O P T O M E T R YVA
O P T O M E T R YCO
O P T O M E T R YNC
O P T O M E T R YCO
O P T O M E T R YIA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. SHERRY LYNNE SHEPHERD?
NPI 1417012956 is assigned to MRS. SHERRY LYNNE SHEPHERD under the national enumeration system.
Does this profile mean MRS. SHERRY LYNNE SHEPHERD is currently active?
Yes — MRS. SHERRY LYNNE SHEPHERD appears active in the national provider directory.
What field does MRS. SHERRY LYNNE SHEPHERD work in?
You can think of MRS. SHERRY LYNNE SHEPHERD as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does MRS. SHERRY LYNNE SHEPHERD practice in Colorado?
You will see Pueblo, Colorado on file for MRS. SHERRY LYNNE SHEPHERD alongside any extra practice locations.
Is MRS. SHERRY LYNNE SHEPHERD a real provider?
This page reflects official NPPES data for NPI 1417012956. Always confirm identity and privileges with the practice and licensing boards.

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