Active NPI
Emily R Shull, O.D.
- Optometrist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5574 T2488
- Practice address
- 500 Wyoming Ave
Cincinnati, OH 45215-4422 - Phone
- (513) 821-1200
- Fax
- (513) 821-2400
- NPI assigned
- Jul 20, 2006
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5574 T2488 | OH | Primary |
Addresses
Primary practice location
500 Wyoming Ave
Cincinnati, OH 45215-4422
Mailing address
500 Wyoming Ave
Cincinnati, OH 45215-4422
Phone (513) 821-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 Wyoming Ave
Cincinnati, OH 45215-4422
Phone (513) 821-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC LLC | Current | Accepting new patients | |
| Sight, LLC | Optometrist | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Optometrist | Current | Accepting new patients |
Locations
580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000
1945 Cei Dr
Blue Ash, OH 45242
500 Wyoming Ave
Wyoming, OH 45215
Phone (513) 821-1200
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- OH PPO
Interoperability endpoints
- emily.shull.p1@direct.cei.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cincinnati Eye Institute
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
Optometrist
-
- Optometrist
- Cincinnati, OH
- NPI 1679906101
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
-
dba Cleveland Surgical Suites
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1003836412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WYOMING AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452154422",
"telephone_number": "513-821-1200",
"fax_number": "513-821-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WYOMING AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452154422",
"telephone_number": "513-821-1200",
"fax_number": "513-821-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULL",
"first_name": "EMILY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5574 T2488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.