Michael Shurley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2772 Issued in MO

Practice address

426 W Coler St
Neosho, MO 64850-1441

Phone

(417) 451-2378

Fax

(417) 451-4484

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael Shurley O.D., P.C.

  • Clinic/Center
  • Neosho, MO
  • NPI 1235312943
  Medicare reassignment Authorized official
• Missouri Eye Institute of Joplin LLC

  • Ophthalmology Physician
  • Joplin, MO
  • NPI 1285767889
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1366436370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W COLER ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501441",
            "telephone_number": "417-451-2378",
            "fax_number": "417-451-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W COLER ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501441",
            "telephone_number": "417-451-2378",
            "fax_number": "417-451-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURLEY",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2772",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "TO2772",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "TO2772",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MO",
            "license": "TO2772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Schultz
• Sgoh Acquisition, Inc.
• Joseph Kirk Sheppard, D.O.
• Ryan Andrew Shoemake
• Lewis David Shuler, DO
• Michelle Lea Sledge, MS, CCC-SLP
• Ashden Nichole Smith, FNP-C
• Brian L Smith, DO
• Douglas Parker Smith, DDS
• Michael Christopher Smith, RPH

• Optometrist in Neosho, MO
• Providers in Neosho, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.

Verify at the official NPI Registry.