William R Shumaker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T734 Issued in TN

Practice address

321 Midway Medical Park
Bristol, TN 37620-1651

Phone

(423) 968-3441

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midway Eyecare, PC

  • Optometrist
  • Bristol, TN
  • NPI 1851500649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1376582155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MIDWAY MEDICAL PARK",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201651",
            "telephone_number": "423-968-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MIDWAY MEDICAL PARK",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201651",
            "telephone_number": "423-968-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Susan Shipley, LCSW, ACSW, MSW
• Madeline Grace Shipley
• William Chris Shipley, D. D. S.
• Nancy S Shisler, C.F.N.P.
• Amy Nicole Shortt, ACNP-AG
• Jake Sides
• Samuel Sim, MD
• Kelly Carter Simcox, FNP-BC
• Evelyn Faye Simerly, REGISTERED NURSE
• Mara W Sindoni, MA

• Optometrist in Bristol, TN
• Providers in Bristol, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.