Avery Neal Shulman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006491 Issued in IL

Practice address

155 Park Ave Ste B
Cary, IL 60013-2793

Phone

(847) 639-5855

Fax

(847) 639-5854

NPI assigned

Aug 5, 2006

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Grishma P. Patel, O.D. & Associates, P.C.

  dba Advanced Eyecare of Wheaton

  • Optometrist
  • Wheaton, IL
  • NPI 1134453897
  NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1174532840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUTTON DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623015",
            "telephone_number": "847-498-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PARK AVE STE B",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132793",
            "telephone_number": "847-639-5855",
            "fax_number": "847-639-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601773315",
            "country_code": "US",
            "telephone_number": "847-697-1242",
            "fax_number": "847-697-1243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "AVERY",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-006491",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006491",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Bauer Scott, M.A. CCC-SLP/L
• Sheila Senn, LCPC
• Serenity Mind Counseling PLLC
• Michael Shery
• Rushabh Mukesh Shukla, PHARMD
• Lita Inga Simanis, LCSW
• Thomas J. Skleba, D.D.S.
• April R Smith, PSY.D.
• Laura Ann Smith, RD, LD
• Roberta Marie Smith, M.S.W., L.C.S.W.

• Optometrist in Cary, IL
• Providers in Cary, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.