Shimul Y Shah, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH5091 Issued in OH

Practice address

122 N Main St
Marysville, OH 43040-1106

Phone

(937) 642-1300

Fax

(937) 642-0101

NPI assigned

Jun 16, 2006

Last updated

Aug 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ackerson Eyecare Center, IncGroup PAC ID 8820086366, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ackerson Eyecare Center, Inc

  • Optometrist
  • Hilliard, OH
  • NPI 1205907953
  Medicare reassignment Care Compare group NPD
• Shimul Y Shah

  dba Marysville Family Vision

  • Health Service Clinic/Center
  • Marysville, OH
  • NPI 1316122724
  Authorized official Same address or phone
• Dr. D. Michael Dopkiss & Associates Inc.

  • Optometrist
  • Columbus, OH
  • NPI 1548348881
  NPD (past)
• Dr. D. Michael Dopkiss and Assoc. Inc.

  • Optometrist
  • Powell, OH
  • NPI 1679720858
  NPD (past)
• Dr. Johnathan Beauchamp and Associates, LLC

  dba Family Vision Care of Marion

  • Optometrist
  • Marion, OH
  • NPI 1548750300
  NPD (past)
• Industrial Fitness

  dba Advanced Physical Therapy Centers

  • Physical Therapist
  • Hilliard, OH
  • NPI 1518152719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1043254170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401106",
            "telephone_number": "937-642-1300",
            "fax_number": "937-642-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401106",
            "telephone_number": "937-642-1300",
            "fax_number": "937-642-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHIMUL",
        "middle_name": "Y",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2636099",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN  H213271",
            "identifier": "1043254170",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN  H213270",
            "identifier": "1316122724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian S Seifferth, MD
• Ermias Seleshi, MD, MPH
• Seravision Inc.
• Serendipity Counseling Center
• Michael Shaffer, MD
• Stephanie Renee Shampel, FNP- BC
• Jerome Shapiro
• Angela Kay Sharp, RN
• Tamra Sharp
• Naomi Shaw

• Optometrist in Marysville, OH
• Providers in Marysville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.

Verify at the official NPI Registry.