Julie Shalhoub, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

3240 Issued in TN

Practice address

1245 Madison Ave
Memphis, TN 38104-2211

Phone

(901) 722-3200

NPI assigned

Jul 6, 2015

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1558744821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 ISLAND DR APT 114",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031727",
            "telephone_number": "812-391-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211",
            "telephone_number": "901-722-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALHOUB",
        "first_name": "JULIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3240",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TN",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Hassaan Shahid, M.D.
• Shokoufeh Shahrabi Farahani, D.D.S, M.S, DMSC
• Aftab Ahmed Shaikh, M.D.
• David G Shainberg, DPM
• Mohamed Bashar Abou Shala, MD
• Shalom Residential Care LLC
• Carlos Shammas, MD
• Sreenath Shanker, PA-C
• Jacqueline Elizabeth Shanks, RD
• Chaquita Shanta Shannon

• Pediatric Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.