Individual provider Active NPI

David William Shurtz, OD

  • Optometrist
  • Spokane, WA
National Provider Identifier
1316453053
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61289791 Issued in WA
Practice address
318 E Rowan Ave Ste 207
Spokane, WA 99207-1200
Phone
(509) 487-5456
Fax
(509) 484-0082
NPI assigned
Dec 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2228 AZ
Optometrist 152W00000X OD61289791 WA Primary

Addresses

Primary practice location

318 E Rowan Ave Ste 207
Spokane, WA 99207-1200

Mailing address

318 E Rowan Ave Ste 207
Spokane, WA 99207-1200
Phone (509) 487-5456

Other practice location 1

6572 E Grant Rd
Tucson, AZ 85715-3810
Phone (520) 886-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231229002706 WA Practitioner - Optometry 6608135819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 E Rowan Ave
Suite 207
Spokane, WA 99207-1200
Phone (509) 487-5456

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2228AZMDOptometrist
OD61289791WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Gaimari OD PS CurrentSince Mar 8, 2024 Accepting new patients

Locations

318 E Rowan Ave
Ste 207
Spokane, WA 99207
Phone (509) 487-5456

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1316453053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E ROWAN AVE STE 207",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071200",
            "telephone_number": "509-487-5456",
            "fax_number": "509-484-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E ROWAN AVE STE 207",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071200",
            "telephone_number": "509-487-5456",
            "fax_number": "509-484-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6572 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153810",
            "country_code": "US",
            "telephone_number": "520-886-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURTZ",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2228",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61289791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.