Organization Active NPI

Dr. Shirley Willis PC

  • Durable Medical Equipment & Medical Supplies
  • Oak Hill, WV
National Provider Identifier
1891965737
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
708 OD Issued in WV
Legal business name
DR. SHIRLEY WILLIS PC
Practice address
1001 Elizabeth St
Oak Hill, WV 25901-2342
Phone
(304) 465-0269
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Shirley Jean Willis, OD
Title
Doctor
Phone
(304) 465-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 708 OD WV Primary

Addresses

Primary practice location

1001 Elizabeth St
Oak Hill, WV 25901-2342

Mailing address

1001 Elizabeth St
Oak Hill, WV 25901-2342
Phone (304) 465-0269

National Provider Directory

National Provider Directory

Locations

1001 Elizabeth St
Oak Hill, WV 25901
Phone (304) 465-0269

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1891965737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ELIZABETH ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012342",
            "telephone_number": "304-465-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ELIZABETH ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012342",
            "telephone_number": "304-465-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHIRLEY WILLIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-465-0269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "708 OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.