NPIMap

Organization Active NPI

Dr. Stephen Shulman, P.C.

  • Optometrist
  • South Holland, IL
National Provider Identifier
1629206933
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007025 Issued in IL
Legal business name
DR. STEPHEN SHULMAN, P.C.
Practice address
1024 E 162ND St
South Holland, IL 60473-2560
Phone
(708) 339-4040
Fax
(708) 339-3989
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Dr. Stephen Alan Shulman, O.D.
Title
President
Phone
(708) 339-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-007025 IL Primary

Addresses

Primary practice location

1024 E 162ND St
South Holland, IL 60473-2560

Mailing address

1024 E 162ND St
South Holland, IL 60473-2560
Phone (708) 339-4040

National Provider Directory

National Provider Directory

Locations

1024 E 162nd St
South Holland, IL 60473
Phone (708) 339-4040

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1629206933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732560",
            "telephone_number": "708-339-4040",
            "fax_number": "708-339-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732560",
            "telephone_number": "708-339-4040",
            "fax_number": "708-339-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN SHULMAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-339-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.