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Provider Profile

Kenneth T. Shealy, O.D.

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At a glance

About Dr. Shealy

Kenneth T. Shealy, O.D. is an optometrist based in Tifton, GA. Kenneth is a 2020 graduate of Southern College of Optometry. According to Medicare claims data, Kenneth cared for 335 Medicare patients across 361 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, photography of the retina, and established patient complete exam of visual system. The provider's National Provider Identifier (NPI) is 1104436922.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Optometrist (Primary)

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. OPT003252As reported
NPINational Provider Identifier
1104436922Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kenneth T. Shealy?

Kenneth T. Shealy is an optometrist in Tifton, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kenneth T. Shealy's address?

Kenneth T. Shealy is listed at 1803 Old Ocilla Rd, Tifton, GA 31794. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kenneth T. Shealy?

The number on file is (229) 386-2181. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kenneth T. Shealy's NPI number?

Kenneth T. Shealy's National Provider Identifier is 1104436922. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenneth T. Shealy train?

Kenneth T. Shealy attended Southern College of Optometry, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Kenneth T. Shealy been practicing?

Kenneth T. Shealy has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

What procedures does Kenneth T. Shealy perform?

According to Medicare billing data, Kenneth T. Shealy provides treatments such as photography of the retina and established patient complete exam of visual system, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Kenneth T. Shealy confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kenneth T. Shealy. If this is you, claiming it is free.

Guide.md

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