Provider Demographics
NPI:1346436979
Name:DRS. SHILLING & PEIFFER, INC.
Entity Type:Organization
Organization Name:DRS. SHILLING & PEIFFER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHILLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-352-3223
Mailing Address - Street 1:111 CLOUGH ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2901
Mailing Address - Country:US
Mailing Address - Phone:419-352-3223
Mailing Address - Fax:419-352-5485
Practice Address - Street 1:111 CLOUGH ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2901
Practice Address - Country:US
Practice Address - Phone:419-352-3223
Practice Address - Fax:419-352-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0265609Medicaid
OH0265609Medicaid