Shimul Y Shah

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

5091 Issued in OH

Legal business name

SHIMUL Y SHAH

Doing business as

Marysville Family Vision

Practice address

122 N Main St
Marysville, OH 43040-1106

Phone

(937) 642-1300

Fax

(937) 642-0101

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shimul Y Shah, O.D.

Title

Owner/Optometrist

Phone

(937) 642-1300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marysville Family Vision Doing business as

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1316122724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401106",
            "telephone_number": "937-642-1300",
            "fax_number": "937-642-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401106",
            "telephone_number": "937-642-1300",
            "fax_number": "937-642-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMUL Y SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHIMUL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "937-642-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043254170",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2636099",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marysville Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Ann Marie Shepherd, M.A., BCBA
• Jennifer Sherick
• Maci Sherick
• Riley Sherick
• Angela Lynn Shick, PT/ATC
• Jean M Shoemaker, LISW-S RPT-S
• Katherine Shoemaker, RN
• Thomas J Shoemaker, O.D.
• Charlene Shuler, CNP
• Jemima N/a Shuti

• Health Service Clinic/Center in Marysville, OH
• Providers in Marysville, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.