CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) – Optometrist, NPI 1295266583

CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) is a healthcare provider. based in Naples, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18004009A (IN). The NPI Number for CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) is 1295266583

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CATHLEEN ROSALIE CARABALLO SHANKS (O.D.)
NPI
1295266583
Phone
(813) 990-7062
Address
15493 SUMMIT PLACE CIR
Enumeration Date
27 March 2017
Last Update Date
20 July 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2395422020
Graduation Year
2016 (10 years ago)
PAC ID
7810265154
Group Practice PAC ID
5496774515
Professional Enrollment ID
I20200803002008
Address ID
FL339047165CA4120XSXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for CATHLEEN ROSALIE CARABALLO SHANKS (O.D.)

  • 15493 SUMMIT PLACE CIR

    NAPLES, FL 341194123

    Phone: (813) 990-7062

    Type: Mailing

  • 9th Street North, Naples, Collier County, Florida, 34102:34103, United States

    NAPLES, FL 341024819

    Phone: (239) 263-3223

    Type: Location

  • 1251 US 31 N Ste K03A

    Greenwood, IN 461424503

    Phone: (317) 883-0419

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($61).

Total Amount

$168

General + Research + Ownership

Payments

7

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2020-08-03

PECOS data refreshed: 2026-05-27

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
I20200803002008IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system4747$0
92250Photography of the retina4039$0
92014Established patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 34119)

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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: 5496774515View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YPA
A N E S T H E S I O L O G YFL
O P H T H A L M O L O G YFL
Certified Registered Nurse Anesthetist (Crna)VA
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

How is CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) identified in CMS data?
CMS-hosted NPPES data lists CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) with NPI 1295266583.
Does the file indicate CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) is practicing under active NPI?
Directory data currently reports CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) as active.
What is CATHLEEN ROSALIE CARABALLO SHANKS (O.D.)'s primary classification?
Optometrist is the headline specialty for CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) based?
CATHLEEN ROSALIE CARABALLO SHANKS (O.D.) is tied to Naples, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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