William Blaine Shuke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000761 Issued in PA

Practice address

311 Hospital Dr
Everett, PA 15537-7022

Phone

(814) 623-1969

Fax

(814) 623-5590

NPI assigned

Sep 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennwood Ophthalmic Associates PCGroup PAC ID 4880632645, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bshuke@pennwoodoph.medentdirect.com

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.

• Pennwood Ophthalmic Associates, PC

  • Ophthalmology Physician
  • Everett, PA
  • NPI 1669435582
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1659477339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HOSPITAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377022",
            "telephone_number": "814-623-1969",
            "fax_number": "814-623-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HOSPITAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377022",
            "telephone_number": "814-623-1969",
            "fax_number": "814-623-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKE",
        "first_name": "WILLIAM",
        "middle_name": "BLAINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016242330004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph John Rupp, DPM
• Saint Joseph Clinic
• Christopher J Samuel, MD
• Lindsay Seagroves, LMT
• Brenda Lea Shaffer, PTA
• Tarin Amy Sill, PA-C
• Lorie Silvestre
• Lori Slack, MSCCCSLP
• Lisa Annette Sleighter, CPHT
• Misty Spencer

• Optometrist in Everett, PA
• Providers in Everett, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.