SHANNON MARIE LAMB (OD) – Optometrist, NPI 1720500168

SHANNON MARIE LAMB (OD) is a healthcare provider. based in Coppell, Texas. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 9201 (TX). The NPI Number for SHANNON MARIE LAMB (OD) is 1720500168

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MARIE LAMB (OD)
NPI
1720500168
Phone
(972) 393-3937
Address
541 E SANDY LAKE RD
Enumeration Date
7 July 2017
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8176452411
Graduation Year
2017 (9 years ago)
PAC ID
3173894441
Group Practice PAC ID
4385628502
Professional Enrollment ID
I20170804000060
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON MARIE LAMB (OD)

  • 541 E SANDY LAKE RD

    COPPELL, TX 750193090

    Phone: (972) 393-3937

    Type: Mailing

  • 4901 CALHOUN RD RM 2107

    HOUSTON, TX 772042020

    Phone: (713) 743-2020

    Fax: (713) 743-0963

    Type: Mailing

  • 655, Taylor Street, Downtown Fort Worth, Fort Worth, Tarrant County, Texas, 76102, United States

    FORT WORTH, TX 761024821

    Phone: (817) 289-6800

    Fax: (817) 289-6825

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $593.

Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($192).

Total Amount

$593

General + Research + Ownership

Payments

16

Total payment records

General Amount

$593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

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: 2017-08-04

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
I20170804000060IOptometryTXTBD

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 75019)

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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: 4385628502View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

Is there an official ID for SHANNON MARIE LAMB (OD) in U.S. healthcare records?
The official identifier for SHANNON MARIE LAMB (OD) is NPI 1720500168.
Is SHANNON MARIE LAMB (OD) shown as active in public data?
Registry records indicate SHANNON MARIE LAMB (OD) maintains an active NPI.
What clinical focus is listed for SHANNON MARIE LAMB (OD)?
At a glance, SHANNON MARIE LAMB (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is SHANNON MARIE LAMB (OD) associated with Coppell?
Public fields place SHANNON MARIE LAMB (OD) around Coppell, Texas. 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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