MEDICARE: MARY SHULL OPTICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	BL01-556	MT

General Provider Information

NPI Number	:	1144609421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY SHULL OPTICIAN

Provider Business Mailing Address
First Line	:	111 N HIGGINS AVE
Second Line	:	SUITE 107
City	:	MISSOULA
State	:	MT
Zip	:	59802
Country	:	US
Telephone Number	:	406-327-9988
Fax Number	:	406-541-9981

Provider Business Practice Location Address
First Line	:	111 N HIGGINS AVE
Second Line	:	SUITE 107
City	:	MISSOULA
State	:	MT
Zip	:	59802-4437
Country	:	US
Telephone Number	:	406-327-9988
Fax Number	:	406-541-9981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	05/20/2015

Similar Medicare Providers

1730314493 — MS. JENNIFER ANN CARLSON LCSW
Practice Location Address:

111 N HIGGINS AVE STE 204.2B
MISSOULA, MT
59802-4437

Practice Phone: 917-769-9609
Practice Fax:

1881908028 — MR. JOHN CRAIG LILBURN MSW, LCSW
Practice Location Address:

111 N HIGGINS AVE , STE 422
MISSOULA, MT
59802-4437

Practice Phone: 406-529-2619
Practice Fax: 406-258-0491

1316204829 — WHITEWATER RESCUE INSTITUTE, INC.
Practice Location Address:

111 N HIGGINS AVE
MISSOULA, MT
59802-4437

Practice Phone: 406-207-2027
Practice Fax:

1437712247 — ABREI CLOUD LCSW LLC
Practice Location Address:

111 N HIGGINS AVE STE 200-5
MISSOULA, MT
59802-4437

Practice Phone: 406-239-1753
Practice Fax:

1154291276 — INTEGRATIVE BODY MIND HEALTH, LLC
Practice Location Address:

111 N HIGGINS AVE STE 204.2B
MISSOULA, MT
59802-4437

Practice Phone: 917-769-9609
Practice Fax:

1669321279 — WITHOUT LIMITS
Practice Location Address:

519 ARBOR DR
MISSOULA, MT
59802-3125

Practice Phone: 612-220-9714
Practice Fax:

Directions to “ MARY SHULL OPTICIAN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.