JULIE LYNN SAMU SHOULDICE OD
NPI 1588742548
Optometrist in Indian River, MI
About Julie Lynn Samu Shouldice Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIE LYNN SAMU SHOULDICE OD (NPI 1588742548) is an individual optometrist in Indian River, Michigan, licensed in Michigan (4901004074) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julie Lynn Samu Shouldice Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Julie Samu Shouldice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sault Sainte Marie, MI 49783
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Eric J Siesel Od PC
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49749 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Julie Samu Shouldice's NPI number?
The NPI number for Julie Samu Shouldice is 1588742548. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Julie Lynn Samu Od.
Where is Julie Samu Shouldice located?
Julie Samu Shouldice practices at 6494 Link Blvd, Indian River, MI 49749. The listed phone number is (313) 539-2020.
What is Julie Samu Shouldice's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Julie Samu Shouldice enrolled in Medicare?
Yes. Julie Samu Shouldice is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julie Samu Shouldice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Samu Shouldice reassigns Medicare benefits to Eric J. Siesel, O.D.P.C. (Sault Sainte Marie, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Samu Shouldice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julie Samu Shouldice accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Louisiana and 10 other insurers list Julie Samu Shouldice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Julie Samu Shouldice was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Julie Lynn Samu Shouldice, OD · NPI 1588742548
Optometrist provider in Indian River, Michigan. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1588742548 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901004074 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 6494 LINK BLVD, Indian River, MI 49749-9784
- **Phone:** (313) 539-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eric J. Siesel, O.D.P.C. (NPI 1407044688, Sault Sainte Marie, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2016
- **Other identifiers:** Other 4100442401 (MI); Other 900F965090 (MI); Medicare UPIN U81692 (MI); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1588742548) · Data from the CMS NPPES public registry.