Individual provider Active NPI

David Allen Shilling, O.D.

  • Optometrist
  • Bowling Green, OH
National Provider Identifier
1659355642
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4313/T112 Issued in OH
Practice address
111 Clough St
Bowling Green, OH 43402-2901
Phone
(419) 352-3223
Fax
(419) 352-5485
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4313/T112 OH Primary

Addresses

Primary practice location

111 Clough St
Bowling Green, OH 43402-2901

Mailing address

111 Clough St
Bowling Green, OH 43402-2901
Phone (419) 352-3223

Other identifiers 2

IdentifierTypeStateIssuer
03172OtherOHPARAMOUNT HMO PROVIDER #
0840835MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120620000272 OH Practitioner - Optometry 9436296944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Shilling and Peiffer IncGroup PAC ID 9234159252, 3 clinicians

Practice addresses (Care Compare)

111 Clough St
Bowling Green, OH 43402-2901
Phone (419) 352-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4313/T112OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Shilling & Peiffer, Inc. Optometrist CurrentSince Jan 1, 1996 Accepting new patients

Locations

111 Clough St
Bowling Green, OH 43402
Phone (419) 352-3223

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659355642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOUGH ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022901",
            "telephone_number": "419-352-3223",
            "fax_number": "419-352-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLOUGH ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022901",
            "telephone_number": "419-352-3223",
            "fax_number": "419-352-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLING",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4313/T112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HMO PROVIDER #",
            "identifier": "03172",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840835",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.