Shawn D. Tubiello, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000246 Issued in PA

Legal business name

SHAWN D. TUBIELLO, OD, LLC

Practice address

834 Main St
Hellertown, PA 18055-1515

Phone

(610) 838-1000

Fax

(610) 838-9332

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Tubiello, ODNPI 1679582050

Title

Owner

Phone

(610) 838-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn David Tubiello, OD

  • Optometrist
  • Sellersville, PA
  • NPI 1679582050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1821590555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551515",
            "telephone_number": "610-838-1000",
            "fax_number": "610-838-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551515",
            "telephone_number": "610-838-1000",
            "fax_number": "610-838-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN D. TUBIELLO, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "TUBIELLO",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-838-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.