Organization Active NPI

Ma Shurtz OD & Associates PLLC

  • Optometrist
  • Willow Park, TX
National Provider Identifier
1255983169
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MA SHURTZ OD & ASSOCIATES PLLC
Practice address
4088 E Ih 20 Service Rd S
Willow Park, TX 76087-3647
Phone
(520) 230-5767
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Michael Shurtz, ODNPI 1679913123
Title
Owner, Manager
Phone
(520) 230-5767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4088 E Ih 20 Service Rd S
Willow Park, TX 76087-3647

Mailing address

4088 E Ih 20 Service Rd S
Willow Park, TX 76087-3647

Other names 1

  • White & Shurtz Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910000560 TX Part B Supplier - Clinic/Group Practice 7315276854 Receives reassigned benefits from 1 practitioner
Practice locations: Willow Park, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1255983169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 E IH 20 SERVICE RD S",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 E IH 20 SERVICE RD S",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873647",
            "telephone_number": "520-230-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA SHURTZ OD & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "520-230-5767",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White & Shurtz Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.