Steven W Shute O D Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5777 Issued in CA

Legal business name

STEVEN W SHUTE O D INC

Practice address

305 Pollasky Ave
Clovis, CA 93612-1139

Phone

(559) 299-4257

Fax

(559) 299-7702

NPI assigned

Mar 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Steven William Shute, O.D.

Title

President

Phone

(559) 299-4257

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Visaka Dianna Inthavong, OD

  • Optometrist
  • Clovis, CA
  • NPI 1831851120
  NPD
• Jay Anand Newsome, O.D.

  • Optometrist
  • Clovis, CA
  • NPI 1215929831
  NPD

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1649593021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 POLLASKY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121139",
            "telephone_number": "559-299-4257",
            "fax_number": "559-299-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 POLLASKY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121139",
            "telephone_number": "559-299-4257",
            "fax_number": "559-299-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W SHUTE O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "SHUTE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-299-4257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "5777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy A Steele, LCSW
• Rhonda Honora Stehman, M.A., CCC-SLP
• Jessica Stendel, F.N.P
• Kaela Stephens, LPCC, NCC
• Lenzy Stephenson, D.O.
• Dylan Stevens
• Maria Blancarte Stevens, PSY.D.
• Stickyickywickybakehouse
• Brian K. Stilwell, MFT
• Kailee Stock

• Eyewear Supplier in Clovis, CA
• Providers in Clovis, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.