Shawn M Kurtz, OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001984 Issued in WA

Practice address

208 S 72ND Ave
Ste 100
Yakima, WA 98908-1600

Phone

(509) 576-4292

Fax

(509) 966-3303

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Ohio State University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shawn M Kurtz OD PLLCGroup PAC ID 7214922756, 2 clinicians

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.

• Shawn M Kurtz OD PLLC

  • Eyewear Supplier
  • Yakima, WA
  • NPI 1952574295

  Optometrist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1700875895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S 72ND AVE",
            "address_2": "STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081600",
            "telephone_number": "509-576-4292",
            "fax_number": "509-966-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S 72ND AVE",
            "address_2": "STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081600",
            "telephone_number": "509-576-4292",
            "fax_number": "509-966-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "SHAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhukar Kumar, MD
• Monika Kumar, MD
• Sajal Kumar, MD
• Biju P Kunhiraman, MD
• Danielle Nicole Kurtz
• Elizabeth P Kustyukov
• Jeremy Kuykendall, CDPT
• Clark Tuan Kwok, MD
• Daniel M Kwon, MD
• La Clinica Noroeste de Comportamientos Modificados

• Optometrist in Yakima, WA
• Providers in Yakima, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.