Active NPI
Dr. Shirley Willis PC
- Durable Medical Equipment & Medical Supplies
- Oak Hill, WV
National Provider Identifier
1891965737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 708 OD
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Optometrist
- Oak Hill, WV
- NPI 1689807265
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.