Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Logan Scott Shettle, OD

Individual provider Optometrist · NPI 1417847880

Dr. Logan Scott Shettle, OD is an Optometry in St Petersburg, Florida. Graduated from Southern College of Optometry in 2025, 1 year ago. Practices with D Scott Shettle OD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Trained at
Southern College of Optometry
Licensed in
FL
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

8501 4th St N
St Petersburg, FL 33702-3110
Phone: (727) 528-2015
Fax: (727) 528-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6747 (FL)

Record details

NPI number1417847880
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice D Scott Shettle Od Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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