Michael Shurley O.D., P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

T02772 Issued in MO

Legal business name

MICHAEL SHURLEY O.D., P.C.

Practice address

426 W Coler St
Neosho, MO 64850-1441

Phone

(417) 451-2378

Fax

(417) 451-4484

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Shurley, O.D.NPI 1366436370

Title

President

Phone

(417) 451-2378

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Shurley, O.D.

  • Optometrist
  • Neosho, MO
  • NPI 1366436370
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1235312943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W COLER ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501441",
            "telephone_number": "417-451-2378",
            "fax_number": "417-451-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W COLER ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501441",
            "telephone_number": "417-451-2378",
            "fax_number": "417-451-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SHURLEY O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "SHURLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-451-2378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "T02772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312558703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ella McLain
• Medicalodges, Inc.
• Medicalodges, Inc.
• Mercy Hospital Joplin
• Rayleine Chelsy Metcalf, LCSW
• Barbara H Miller, M.D.
• Sara Miller, OTA
• Sarah Miller, DNP, APRN, FNP-C
• Michael Milligan, D.C.
• Tanner Garrett Mitchell, PHARMD

• Clinic/Center in Neosho, MO
• Providers in Neosho, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.