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

Shane Benally, OD

Individual provider Optometrist · NPI 1588387294

Shane Benally, OD is an Optometry in Santo Domingo Pueblo, New Mexico. Graduated from Southern College of Optometry in 2022, 4 years ago. Practices with Kewa Pueblo Health Corporation, a 29-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Trained at
Southern College of Optometry
Licensed in
ID
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

85 W Highway 22
Santo Domingo Pueblo, NM 87052-1283
Phone: (505) 465-1169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100585 (ID)

Record details

NPI number1588387294
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address5300 Las Soleras Dr Apt 6003, Santa Fe, NM 87507-2002

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Kewa Pueblo Health Corporation — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount