Individual provider Active NPI

B G Shily, O.D.

  • Corneal and Contact Management Optometrist
  • Beverly Hills, CA
National Provider Identifier
1306975982
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
8177T Issued in CA
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

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.