Shawn M Kurtz OD PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SHAWN M KURTZ OD PLLC

Doing business as

Retrospecs Eye Center

Practice address

208 S 72ND Ave Ste 100
Yakima, WA 98908-1600

Phone

(509) 576-4292

Fax

(509) 966-3303

NPI assigned

Apr 8, 2008

Last updated

Oct 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn M Kurtz, ODNPI 1700875895

Title

Managibg Memebr

Phone

(509) 576-4292

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Retrospecs Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn M Kurtz, OD PLLC

  • Optometrist
  • Yakima, WA
  • NPI 1700875895
  Medicare reassignment Care Compare group NPD Authorized official
• Vanessa Ramirez-Marin

  • Optometrist
  • Yakima, WA
  • NPI 1932955762
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1952574295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S 72ND AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081600",
            "telephone_number": "509-576-4292",
            "fax_number": "509-966-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S 72ND AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081600",
            "telephone_number": "509-576-4292",
            "fax_number": "509-966-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M KURTZ OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGIBG MEMEBR",
        "authorized_official_telephone_number": "509-576-4292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028132",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retrospecs Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor V. Sharpe III, M.D.
• Joshua Shaub, PHARM. D.
• Stephen R Shaul, M.D.
• Shaw Neal Investments Inc. (Medicinemart Westside)
• Priya Brata Shaw, M.D.
• Shawn R McDevitt DDS PS
• Amanda Kay Shay, CDP
• SHC Medical Center - Yakima
• SHC Medical Center - Yakima
• SHC Medical Center - Yakima

• Eyewear Supplier in Yakima, WA
• Providers in Yakima, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.