Active NPI
William E Shull, OD
- Optometrist
- Plains, MT
National Provider Identifier
1871648899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 322
- Practice address
- 100 W Lynch St
Plains, MT 59859-0747 - Phone
- (406) 826-3761
- Fax
- (406) 826-3761
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 322 | MT | Primary |
Addresses
Primary practice location
100 W Lynch St
Plains, MT 59859-0747
Mailing address
Box 747
100 W Lynch St
Plains, MT 59859-0747
Phone (406) 826-3761
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0489749 | Medicaid | MT | |
| 0915080001 | Other | DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1871648899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 747",
"address_2": "100 W LYNCH ST",
"city": "PLAINS",
"state": "MT",
"postal_code": "598590747",
"telephone_number": "406-826-3761",
"fax_number": "406-826-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W LYNCH ST",
"city": "PLAINS",
"state": "MT",
"postal_code": "598590747",
"telephone_number": "406-826-3761",
"fax_number": "406-826-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULL",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489749",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0915080001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Plains, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.