Michael Shurtz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1914 Issued in AZ

Practice address

4088 E Ih 20 Service Rd S
Willow Park, TX 76087-3647

Phone

(520) 230-5767

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ma Shurtz OD & Associates PLLC

  dba White & Shurtz Eye Care

  • Optometrist
  • Willow Park, TX
  • NPI 1255983169
  Medicare reassignment NPD Authorized official
• J. M. White, OD & Associates, PA

  • Corneal and Contact Management Optometrist
  • Willow Park, TX
  • NPI 1669506929
  NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1073683348
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1679913123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 E IH 20 SERVICE RD S",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873647",
            "telephone_number": "817-594-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 E IH 20 SERVICE RD S",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873647",
            "telephone_number": "520-230-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURTZ",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1914",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8922T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rivers Saunders, D.O.
• Scenic Route Wellness, PLLC
• Iyonniah Schaeffer
• Senior Mental Health Solutions, LP
• Lauren Shin
• Julia Diane Sims, MT-BC
• Chrystal Sisk, LPC-A
• Ashlee Skrhak, CPNP-PC
• Arthur H Smith-Vaughan
• Shawn Smith

• Optometrist in Willow Park, TX
• Providers in Willow Park, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.