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

Dr. Shealeen A Panetta, OD

Individual provider Optometrist · NPI 1194891457

Dr. Shealeen A Panetta, OD is an Optometry in Boulder, Colorado. Graduated from Pennsylvania College of Optometry in 2004, 22 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado, District of Columbia and Maryland.

Years since qualifying
22
Trained at
Pennsylvania College of Optometry
Licensed in
CO, DC, MD
In the registry since
2006
Specialties on file
3
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

580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2936 (CO)
Optometrist Taxonomy 152W00000X · Licence TA1960 (MD)
Optometrist Taxonomy 152W00000X · Licence OP1000097 (DC)

Record details

NPI number1194891457
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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