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Shannon Deitch, OD
NPI 1275029647 · Optometrist · Independence, MO
Shannon Deitch, OD is a Optometrist provider in Independence, MO (NPI 1275029647).
Provider details
- NPI number
- 1275029647
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 2018024721 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13900 E US Highway 40 Ste a
Independence, MO 64055-5877
Phone: (816) 478-0500
Street-level locationGet directions
Mailing address
13120 Larsen St
Overland Park, KS 66213-3000
Registry dates
- Enumerated
- 2018-07-09
- Last updated
- 2018-07-09
Frequently asked questions
- What is Shannon Deitch's NPI number?
- Shannon Deitch's National Provider Identifier (NPI) is 1275029647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Deitch's specialty?
- Shannon Deitch is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Shannon Deitch located?
- Shannon Deitch's practice location on file with NPPES is 13900 E US Highway 40 Ste a, Independence, MO 64055-5877.
- What is Shannon Deitch's phone number?
- The practice phone number listed in the NPPES registry for Shannon Deitch is (816) 478-0500.
- Is Shannon Deitch's NPI active?
- Yes — Shannon Deitch's NPI (1275029647) is active in the NPPES registry as of the last update on 2018-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.