Organization Active NPI

Michael a. Shurtz, OD, PLC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1700377793
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1914 Issued in AZ
Legal business name
MICHAEL A. SHURTZ, OD, PLC
Practice address
6987 N Oracle Rd
Tucson, AZ 85704-4224
Phone
(520) 297-2501
Fax
(520) 297-9546
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Dr. Michael A Shurtz, OD
Title
Optometrist
Phone
(520) 297-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1914 AZ Primary

Addresses

Primary practice location

6987 N Oracle Rd
Tucson, AZ 85704-4224

Mailing address

440 N Alvernon Way
Tucson, AZ 85711-1958
Phone (520) 320-4000

Other practice location 1

230 W Continental Rd
Green Valley, AZ 85622-3591
Phone (520) 625-5657

Other identifiers 1

IdentifierTypeStateIssuer
824593MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1700377793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-320-4000",
            "fax_number": "520-327-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6987 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044224",
            "telephone_number": "520-297-2501",
            "fax_number": "520-297-9546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W Continental Rd",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856223591",
            "country_code": "US",
            "telephone_number": "520-625-5657",
            "fax_number": "520-625-5659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL A. SHURTZ, OD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "520-297-2501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824593",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.