Stephanie Nicole Shoults, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-OPT-LIC-3611 Issued in MT

Practice address

2499 Gabel Rd Ste 3
Billings, MT 59102-7349

Phone

(406) 652-9339

NPI assigned

Apr 28, 2019

Sex

Female

Sole proprietor

No

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 MT

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Billings Family Eyecare Shiloh PLLCGroup PAC ID 2466805890, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Billings Family Eyecare Shiloh PLLC

  • Optometrist
  • Billings, MT
  • NPI 1487333217
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1811551500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HILLSIDE DR",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "030332123",
            "telephone_number": "603-801-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GABEL RD STE 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027349",
            "telephone_number": "406-652-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Hillside Dr",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "NH",
            "postal_code": "030332123",
            "country_code": "US",
            "telephone_number": "603-801-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOULTS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-3611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co. LLC (ShopKo Optical 106)
• Shoptikal LLC (Shopko Optical 4106)
• Walter F Shore, MS, LAC, NCAC II
• Clodagh Shortt
• Sabra Kay Shough, MSW
• Irina Shuck, PT
• Keith Shultz, MD
• Elizabeth A Shumaker, LMT
• Charles Laron Shumway, BS, DDS
• Benjaminn Sickler, M.D.

• Optometrist in Billings, MT
• Providers in Billings, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.