Individual provider Active NPI

William Paul Schilling, O.D.

  • Optometrist
  • Boise, ID
National Provider Identifier
1265749493
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100210 Issued in ID
Practice address
3132 S Bown Way
Boise, ID 83706-5400
Phone
(208) 957-6504
Fax
(208) 629-1559
NPI assigned
Sep 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100210 ID Primary

Addresses

Primary practice location

3132 S Bown Way
Boise, ID 83706-5400

Mailing address

3132 S Bown Way
Boise, ID 83706-5400
Phone (208) 957-6504

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110224000411 ID Practitioner - Optometry 0749461770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barber Town Eye CareGroup PAC ID 8527376235, 2 clinicians

Practice addresses (Care Compare)

3132 S Bown Way
Boise, ID 83706-5400
Phone (208) 957-6504

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100210IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barber Town Eye Care Optometrist CurrentSince Aug 25, 2015 Accepting new patients

Locations

3132 S Bown Way
Boise, ID 83706
Phone (208) 957-6504

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1265749493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065400",
            "telephone_number": "208-957-6504",
            "fax_number": "208-629-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065400",
            "telephone_number": "208-957-6504",
            "fax_number": "208-629-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.