Active NPI
Michael Shane Murphy, OD
- Optometrist
- Williamsville, NY
National Provider Identifier
1073518759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006295-1
- Practice address
- 8560 Main St Ste 1
Williamsville, NY 14221-7435 - Phone
- (716) 632-6102
- Fax
- (716) 204-8639
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- 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 | TUV006295-1 | NY | Primary |
Addresses
Primary practice location
8560 Main St Ste 1
Williamsville, NY 14221-7435
Mailing address
8560 Main St Ste 1
Williamsville, NY 14221-7435
Phone (716) 632-6102
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000390180003 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 251744484 | Other | NY | NORTH AMERICAN PREFERRED |
| 2091959 | Other | NY | UNITED HEALTH CARE |
| 02506169 | Medicaid | NY | |
| 7290362 | Other | NY | INDEPENDENT HEALTH |
| NY6295 | Other | NY | EYEMED |
| 000390180001 | Other | NY | COMMUNITY BLUE |
| 251744484 | Other | NY | NOVA |
| 000390180002 | Other | NY | COMMUNITY BLUE |
| 115838CS | Other | NY | PREFERRED CARE |
| P00412808 | Other | NY | MEDICARE RAILROAD |
| 00025494903 | Other | NY | UNIVERA |
| 161578122 | Other | NY | EMPIRE - UNITED HEALTHCAR |
| 161578122 | Other | NY | NOVA |
| 251744484 | Other | NY | EMPIRE - UNITED HEALTHCAR |
| 7461797 | Other | NY | AETNA |
| 9382737 | Other | NY | PHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8770 Transit Rd
Suite 2
East Amherst, NY 14051-1786
Phone (716) 770-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006295-1 | NY | MD | Optometrist |
| 006295 | NY | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1073518759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8560 MAIN ST STE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217435",
"telephone_number": "716-632-6102",
"fax_number": "716-204-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8560 MAIN ST STE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217435",
"telephone_number": "716-632-6102",
"fax_number": "716-204-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "MICHAEL",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006295-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000390180003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "251744484",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2091959",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02506169",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "7290362",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NY6295",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000390180001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "251744484",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000390180002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "115838CS",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00412808",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025494903",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE - UNITED HEALTHCAR",
"identifier": "161578122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "161578122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE - UNITED HEALTHCAR",
"identifier": "251744484",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7461797",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9382737",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.