DANA SHARI SHANNON (OD) – Optometrist, NPI 1194498550

DANA SHARI SHANNON (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011530 (IL). The NPI Number for DANA SHARI SHANNON (OD) is 1194498550

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DANA SHARI SHANNON (OD)
NPI
1194498550
Phone
(773) 628-4346
Address
5203 S BLACKSTONE AVE BSMT
Enumeration Date
30 July 2021
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7083850013
Graduation Year
2021 (5 years ago)
PAC ID
2365824075
Group Practice PAC ID
0345143855
Professional Enrollment ID
I20220727003227
Address ID
IL604062118BL12812AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DANA SHARI SHANNON (OD)

  • 5203 S BLACKSTONE AVE BSMT

    CHICAGO, IL 606154458

    Phone: (773) 628-4346

    Type: Mailing

  • 700 E OGDEN AVE STE 200

    WESTMONT, IL 605591296

    Phone: (630) 323-7300

    Type: Location

  • 12812 WESTERN AVE

    BLUE ISLAND, IL 604062118

    Phone: (773) 628-4346

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (773) 628-4346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $5,992.

Total Amount is formed as General ($5,992) + Research ($0) + Ownership ($0) = $5,992.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Alcon Vision LLC ($4,374).

Total Amount

$5,992

General + Research + Ownership

Payments

55

Total payment records

General Amount

$5,992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2022-07-27

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
I20220727003227IOptometryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4629$0
92285Photography of content of eyes3520$0
92250Photography of the retina2424$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 60615)

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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: 0345143855View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I verify DANA SHARI SHANNON (OD) with an NPI only?
You can start verification with NPI 1194498550 for DANA SHARI SHANNON (OD), then check state licensing separately.
Is DANA SHARI SHANNON (OD) still practicing?
DANA SHARI SHANNON (OD) is currently listed as active in the public NPI registry.
What is DANA SHARI SHANNON (OD)'s specialty?
The listing groups DANA SHARI SHANNON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DANA SHARI SHANNON (OD)?
DANA SHARI SHANNON (OD)'s geographic hint is Chicago, Illinois in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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