Active NPI
B G Shily, O.D.
- Corneal and Contact Management Optometrist
- Beverly Hills, CA
National Provider Identifier
1306975982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 8177T
- Practice address
- 9100 Wilshire Blvd
Ste 509E
Beverly Hills, CA 90212-3419 - Phone
- (310) 271-3937
- Fax
- (310) 271-3959
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8177T | CA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 8177T | CA | Primary |
Addresses
Primary practice location
9100 Wilshire Blvd
Ste 509E
Beverly Hills, CA 90212-3419
Mailing address
9100 Wilshire Blvd
509E
Beverly Hills, CA 90212-3415
Phone (310) 271-3937
Other names 1
- B G Shily
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120309000125 | CA | Practitioner - Optometry | 1052570173 | Practice locations: Beverly Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9100 Wilshire Blvd
Beverly Hills, CA 90212-3419
Phone (310) 271-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1306975982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 WILSHIRE BLVD",
"address_2": "509E",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123415",
"telephone_number": "310-271-3937",
"fax_number": "310-271-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 WILSHIRE BLVD",
"address_2": "STE 509E",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123419",
"telephone_number": "310-271-3937",
"fax_number": "310-271-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILY",
"first_name": "B",
"middle_name": "G",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8177T",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "8177T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "B",
"last_name": "SHILY",
"middle_name": "G",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.