Charles M Shiel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00370200 Issued in NJ

Practice address

63 W Pleasant Ave
Maywood, NJ 07607-1334

Phone

(201) 845-4700

Fax

(201) 845-4474

NPI assigned

Jun 1, 2005

Last updated

Apr 12, 2011By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Anthony J Boni OD and Alicia N Dorman OD/PA

  • Optometrist
  • Little Falls, NJ
  • NPI 1346344868
  NPD (past)
• Innovision Optometry NJ PC

  dba Elite Vision Eyecare

  • Optometrist
  • Maywood, NJ
  • NPI 1922608728
  NPD (past)
• Innovision Optometry PC

  • Optometrist
  • Poughkeepsie, NY
  • NPI 1144510058
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1306848536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W PLEASANT AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071334",
            "telephone_number": "201-845-4700",
            "fax_number": "201-845-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W PLEASANT AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071334",
            "telephone_number": "201-845-4700",
            "fax_number": "201-845-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEL",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00370200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "8668995227",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isa Schwarzberg, DPM
• Liliya Serada
• Heinny Severini, APN
• Chirag Shah, MD
• Mini Sharma, PSYD
• Andrew L Siegel, MD
• Anthony N. Sifonios, M.D.
• Ahnie Simonian, APN
• Sina Zaim, M.D. LLC
• Lakeya Smith, CCC-SLP

• Optometrist in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.