SHIMUL Y SHAH NPI 1316122724

NPI Information

NPI: 1316122724
Provider Name: SHIMUL Y SHAH

Doing Business As: MARYSVILLE FAMILY VISION

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
122 N MAIN ST
MARYSVILLE, OH
ZIP 43040
Phone: (937) 642-1300
Get Directions

SHIMUL Y SHAH is a health service clinic center in Marysville, OH. SHIMUL Y SHAH NPI is 1316122724. The provider is registered as an organization entity type.
The provider Is Doing Business As Marysville Family Vision.

The provider's business location address is:

122 N MAIN ST
MARYSVILLE, OH
ZIP 43040-106
Phone: (937) 642-1300
Fax: (937) 642-0101

The provider's authorized official is Shimul Y Shah .
The authorized official title is Owner/optometrist and has the following contact phone number (937) 642-1300.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 6/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	5091	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043254170	OTHER	OHIO	INDIVIDUAL NPI
2	97618	MEDICARE PIN	OHIO
3	2636099	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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