Mark M Shulman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S423 TA358 Issued in AL

Practice address

1202B Woodward Avenue
Muscle Shoals, AL 35661

Phone

(256) 381-0100

Fax

(256) 381-4958

NPI assigned

Nov 27, 2006

Last updated

Oct 6, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoals Vision Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Muscle Shoals, AL
  • NPI 1588822274
  Authorized official Same address or phone
• Hunter H. Snyder, O.D., P.C.

  • Optometrist
  • Madison, AL
  • NPI 1649535303
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1629144340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202B WOODWARD AVENUE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-381-0100",
            "fax_number": "256-381-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202B WOODWARD AVENUE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-381-0100",
            "fax_number": "256-381-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "MARK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S423 TA358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoals Smile by Design PC
• Shoals Smile by Design,PC (Jamine C. Rogers)
• Shoals Vision Clinic, Inc.
• Kripa Shrestha, MD
• Samridhi Shrestha, M.D.
• Christi Silva
• Jonathan Ernest Snell, CRNA
• Southern Family Markets LLC (Southern Family Market)
• Southern Home Care Services, Inc
• Southern Rural Health Care Consortium, Inc.

• Optometrist in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.