SHANNON NICOLE FRIEDMEYER (O.D.) – Optometrist, NPI 1598102774

SHANNON NICOLE FRIEDMEYER (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TA2346 (MD). The NPI Number for SHANNON NICOLE FRIEDMEYER (O.D.) is 1598102774

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON NICOLE FRIEDMEYER (O.D.)
NPI
1598102774
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
29 May 2013
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
5207954202
Graduation Year
2013 (13 years ago)
PAC ID
2567606411
Group Practice PAC ID
1355232653
Professional Enrollment ID
I20210909001242
Address ID
AZ857413698TU6130XBLVD502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

625 OPTOMETRY in MD

Provider Addresses for SHANNON NICOLE FRIEDMEYER (O.D.)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (866) 795-4020

    Type: Mailing

  • 46300 LEXINGTON VILLAGE WAY

    LEXINGTON PARK, MD 206535560

    Phone: (301) 862-2436

    Fax: (301) 737-3390

    Type: Location

  • 6130 N LA CHOLLA BLVD STE 245

    TUCSON, AZ 857413698

    Phone: (205) 888-6600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Glaukos Corporation ($228).

Total Amount

$275

General + Research + Ownership

Payments

4

Total payment records

General Amount

$275

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: 2021-09-09

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
I20210909001242IOptometryAZTBD

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
92014Established patient complete exam of visual system309303$0
99213Established patient office or other outpatient visit, 20-29 minutes191134$0
92004New patient complete exam of visual system119119$0
92250Photography of the retina9392$0
92134Imaging of retina9389$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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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: 1355232653View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YAZ
Plastic And Reconstructive Surgery, OphthalmologyAZ
O P H T H A L M O L O G YAZ
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I use this page to confirm SHANNON NICOLE FRIEDMEYER (O.D.)'s NPI?
Yes. SHANNON NICOLE FRIEDMEYER (O.D.) is listed with NPI 1598102774 in the public NPI dataset.
Can I rely on SHANNON NICOLE FRIEDMEYER (O.D.) being an active provider?
As of the registry snapshot, SHANNON NICOLE FRIEDMEYER (O.D.) is marked active.
What healthcare role does SHANNON NICOLE FRIEDMEYER (O.D.) hold?
Scheduling teams often label SHANNON NICOLE FRIEDMEYER (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is SHANNON NICOLE FRIEDMEYER (O.D.) based?
SHANNON NICOLE FRIEDMEYER (O.D.) is tied to Vienna, Virginia 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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