DR. EMILY R SHULL (O.D.) – Optometrist, NPI 1003836412

DR. EMILY R SHULL (O.D.) is a healthcare provider. based in Edgewood, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5574 T2488 (OH). The NPI Number for DR. EMILY R SHULL (O.D.) is 1003836412

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY R SHULL (O.D.)
NPI
1003836412
Phone
(859) 331-9000
Address
580 S LOOP RD
Enumeration Date
20 July 2006
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
51398451333741
Graduation Year
2005 (21 years ago)
PAC ID
4981625316
Group Practice PAC ID
0749186427
Professional Enrollment ID
I20070717000611
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. EMILY R SHULL (O.D.)

  • 580, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States

    SUITE 200

    EDGEWOOD, KY 410173405

    Phone: (859) 331-9000

    Fax: (859) 331-9040

    Type: Location

  • 500 WYOMING AVE

    CINCINNATI, OH 452154422

    Phone: (513) 821-1200

    Fax: (513) 821-2400

    Type: Mailing

  • Cincinnati Eye Institute, Three-C Highway, Hopkinsville, Warren County, Ohio, 45039, United States

    CINCINNATI, OH 452423311

    Phone: (513) 984-5133

    Fax: (859) 331-9040

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,064.

Total Amount is formed as General ($1,064) + Research ($0) + Ownership ($0) = $1,064.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Alcon Vision LLC ($751).

Total Amount

$1,064

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051214000000IOptometryOHTBD
I20070717000611IOptometryKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system165163$0
99213Established patient office or other outpatient visit, 20-29 minutes10752$0
99214Established patient office or other outpatient visit, 30-39 minutes4536$0
92004New patient complete exam of visual system2929$0
92134Imaging of retina2421$0
View full utilization report →

Insurance plans in this area (ZIP 41017)

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Provider's Procedures

DR. EMILY R SHULL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKY92134Diagnostic imaging of retina1713

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186427View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH
O P T O M E T R YOH
-OH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YMI
-OH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
-OH
-OH

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Frequently asked questions

How do I look up DR. EMILY R SHULL (O.D.) by NPI?
Use NPI 1003836412 when you need to reference DR. EMILY R SHULL (O.D.) in forms, claims, or directories.
Does this profile mean DR. EMILY R SHULL (O.D.) is currently active?
Yes — DR. EMILY R SHULL (O.D.) appears active in the national provider directory.
What field does DR. EMILY R SHULL (O.D.) work in?
You can think of DR. EMILY R SHULL (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EMILY R SHULL (O.D.)?
The page summarizes Edgewood, Kentucky for DR. EMILY R SHULL (O.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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