SHIMUL Y SHAH


Address: 122 N Main St, Marysville, OH 43040-1106
Phone: 9376421300

SHIMUL Y SHAH (NPI# 1316122724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316122724
Entity Type Organization
Organization Name SHIMUL Y SHAH
Other Organization Name MARYSVILLE FAMILY VISION
Practice Address 122 N Main St
Marysville
OH 43040-1106
Practice Telephone 9376421300
Practice Fax Number 9376420101
Mailing Telephone 9376421300
Mailing Fax Number 9376420101
Enumeration Date 2008-01-03
Last Update Date 2013-06-04
Authorized Official Name DR. SHIMUL Y SHAH (OWNER/OPTOMETRIST)
Authorized Official Telephone 9376421300
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
5091 OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH INDIVIDUAL NPI 1043254170 01
OH 2636099 05

Other Provider/Organization Names

Other Name Type Code
Marysville Family Vision Doing Business As Name - Organization

Office Location

Street Address 122 N MAIN ST
City MARYSVILLE
State OH
Zip Code 43040-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346318235 Thomas J Shoemaker Optometrist 122 N Main St, Marysville, OH 43040-1106 2006-12-01
1043254170 Shimul Y Shah Optometrist 122 N Main St, Marysville, OH 43040-1106 2006-06-16

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MARYSVILLE
Zip Code 43040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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