SHIMUL Y SHAH (O.D.) – Optometrist, NPI 1043254170

SHIMUL Y SHAH (O.D.) is a healthcare provider. based in Marysville, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OH5091 (OH). The NPI Number for SHIMUL Y SHAH (O.D.) is 1043254170

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
SHIMUL Y SHAH (O.D.)
NPI
1043254170
Phone
(937) 642-1300
Address
122 N MAIN ST
Enumeration Date
16 June 2006
Last Update Date
6 August 2014

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6148764044
Graduation Year
1999 (27 years ago)
PAC ID
5698677201
Group Practice PAC ID
8820086366
Professional Enrollment ID
I20040123000683
Address ID
OH430261102HI4555XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Loading map...

Provider Addresses for SHIMUL Y SHAH (O.D.)

  • 122, Main Street, Marysville Historic District, Marysville, Union County, Ohio, 43040, United States

    MARYSVILLE, OH 430401106

    Phone: (937) 642-1300

    Fax: (937) 642-0101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($155).

Total Amount

$155

General + Research + Ownership

Payments

6

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2004-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040123000683IOptometryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43040)

Loading plans...

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: 8820086366View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference SHIMUL Y SHAH (O.D.)?
For SHIMUL Y SHAH (O.D.), use NPI 1043254170 as the unique 10-digit identifier.
Is SHIMUL Y SHAH (O.D.) still an active registrant?
SHIMUL Y SHAH (O.D.) carries an active NPI according to the public dataset.
What expertise is attributed to SHIMUL Y SHAH (O.D.)?
SHIMUL Y SHAH (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is SHIMUL Y SHAH (O.D.) associated with Marysville?
Public fields place SHIMUL Y SHAH (O.D.) around Marysville, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

5116, North Big Hollow Road, Peoria, Peoria County, Illinois, 61615, United States
NPI: 1700867652
105, Morey Drive, Marysville, Union County, Ohio, 43040, United States
NPI: 1376592618
East 5th Street, Marysville Historic District, Millcreek Meadows, Marysville, Union County, Ohio, 43040, United States
NPI: 1952343535
Fifth Street, Marysville, Union County, Ohio, 43040, United States
NPI: 1891729620
East 5th Street, Marysville Historic District, Millcreek Meadows, Marysville, Union County, Ohio, 43040, United States
NPI: 1619901774
PO BOX 396
NPI: 1447360185
15400, Fladt Road, Marysville, Darby Township, Union County, Ohio, 43040, United States
NPI: 1366554651
122, Main Street, Marysville Historic District, Marysville, Union County, Ohio, 43040, United States
NPI: 1346318235
Walmart Supercenter, 555, Colemans Crossing Boulevard, Millcreek Meadows, Marysville, Union County, Ohio, 43040, United States
NPI: 1740346519