Individual provider Active NPI

Victoria Renee Louis-Shilling, O.D.

  • Optometrist
  • Oregon, OH
National Provider Identifier
1912187220
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4473T1129 Issued in OH
Practice address
3017 Navarre Ave
Oregon, OH 43616-3307
Phone
(419) 693-4488
NPI assigned
Nov 5, 2007
Last updated
Oct 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4473T1129 OH Primary

Addresses

Primary practice location

3017 Navarre Ave
Oregon, OH 43616-3307

Mailing address

3017 Navarre Ave
Oregon, OH 43616-3307
Phone (419) 693-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20121017000939 OH Practitioner - Optometry 4082864566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

3017 Navarre Ave
Oregon, OH 43616-3307
Phone (419) 693-4488

33541 Aurora Rd
Solon, OH 44139-3705
Phone (440) 248-2020

6600 Sylvania Ave
Sylvania, OH 43560-3933
Phone (419) 517-7106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4473T1129OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Jul 29, 2022 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jul 29, 2022 Accepting new patients

Locations

3017 Navarre Ave
Oregon, OH 43616
Phone (419) 693-4488

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1912187220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163307",
            "telephone_number": "419-693-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163307",
            "telephone_number": "419-693-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS-SHILLING",
        "first_name": "VICTORIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4473T1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.