DR. SHELLEY DORAE WOODY (O.D.) – Optometrist, NPI 1174683031

DR. SHELLEY DORAE WOODY (O.D.) is a healthcare provider. based in Crofton, Maryland. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TA1875 (MD). The NPI Number for DR. SHELLEY DORAE WOODY (O.D.) is 1174683031

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHELLEY DORAE WOODY (O.D.)
NPI
1174683031
Phone
(240) 505-4146
Address
2093 PAWLET DR
Enumeration Date
11 December 2006
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
4435306381
Graduation Year
2003 (23 years ago)
PAC ID
9830265933
Group Practice PAC ID
1850491994
Professional Enrollment ID
I20080912000458
Address ID
MD212223212DU1748XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

626 OPTOMETRY in MD

Provider Addresses for DR. SHELLEY DORAE WOODY (O.D.)

  • 2093 PAWLET DR

    CROFTON, MD 211141679

    Phone: (240) 505-4146

    Fax: (410) 721-1581

    Type: Mailing

  • 1680 VILLAGE GRN

    CROFTON, MD 211142014

    Phone: (240) 505-4146

    Fax: (410) 721-1581

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 4412 MITCHELLVILLE RD

    BOWIE, MD 207163112

    Phone: (301) 809-0000

    Fax: (301) 809-0000

    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 $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: CooperVision Inc. ($221).

Total Amount

$449

General + Research + Ownership

Payments

7

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2021-09-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080912000458IOptometryMDTBD
I20210929000942IOptometryDCTBD

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 21114)

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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: 1850491994View full group profile
NameSpecialtyState
O P T O M E T R YMD
O P T O M E T R YMD
O P H T H A L M O L O G YMD
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YMD

Reviews

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Frequently asked questions

Can I cross-check DR. SHELLEY DORAE WOODY (O.D.) using NPI 1174683031?
NPI 1174683031 belongs to DR. SHELLEY DORAE WOODY (O.D.); compare other details if you need extra assurance.
Would DR. SHELLEY DORAE WOODY (O.D.) appear as active to a payer?
You can treat DR. SHELLEY DORAE WOODY (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. SHELLEY DORAE WOODY (O.D.)?
At a glance, DR. SHELLEY DORAE WOODY (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. SHELLEY DORAE WOODY (O.D.) associated with Crofton?
Public fields place DR. SHELLEY DORAE WOODY (O.D.) around Crofton, Maryland. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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