DR. MICHAEL P SHEA (O.D.) – Optometrist, NPI 1124146469
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL P SHEA (O.D.)
3320 SWEETWATER DR
CUMMING, GA 300416640
Phone: (678) 862-8404
Fax: (706) 265-2377
Type: Mailing
156 POWER CENTER DR
DAWSONVILLE, GA 305349416
Phone: (706) 265-2368
Fax: (706) 265-2377
Type: Location
1500 Commons Cir Ste 200
Northlake, TX 762262717
Phone: (940) 382-2020
Type: Location
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
9816 N BEACH ST
FORT WORTH, TX 762446184
Phone: (817) 741-2020
Fax: (817) 741-3937
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040309000456 | I | Optometry | TX | TBD |
| I20120208000096 | I | Optometry | GA | TBD |
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.
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 30041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | NV | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX |
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