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

Shale Lynn Demuth, OD

Individual provider Optometrist · NPI 1417704222

Shale Lynn Demuth, OD is an Optometry in Tucson, Arizona. Qualified in 2024, 2 years ago. Practices with Carlos L Grandela OD PLC, a 3-clinician group and works from 2 locations. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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

3601 S 6th Ave
Tucson, AZ 85723-0001
Phone: (520) 792-1450
Fax: (520) 783-4386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1234 E Northern Ave, Phoenix, AZ 85020-4274 — (623) 583-2800

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 002822 (AZ)

Record details

NPI number1417704222
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 1, 2024
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Carlos L Grandela O.D. Plc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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