Shawn M Joseph

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

33802 Issued in CA

Practice address

6345 Balboa Blvd Ste 250
Encino, CA 91316-5236

Phone

(818) 344-3937

NPI assigned

Mar 6, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joseph and Nace Optometric CorporationGroup PAC ID 5597130922, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph & Nace Optometric Corporation

  • Vision Therapy Optometrist
  • Encino, CA
  • NPI 1144994104

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Gary L Etting OD an Optometric Corp

  • Optometrist
  • Encino, CA
  • NPI 1306950829
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1013457464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165236",
            "telephone_number": "818-344-3937",
            "fax_number": "818-344-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165236",
            "telephone_number": "818-344-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Barrington Ave Ste 318",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255395",
            "country_code": "US",
            "telephone_number": "818-344-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SHAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5324",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "33802",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OPT33802",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "33802",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "33802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evalina Josefsson, DDS
• Joseph & Nace Optometric Corporation
• Joseph Hadi MD PC
• Barbara A Joseph, MFT
• John H. Joseph, M.D.
• Joshua Diamond MD, Inc.
• Rob Jost, MFT
• Mickel Jourabchi, D.D.S.
• Thomas Jovicich, D.M.D.
• Ashley Juarez

• Pediatric Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Pediatric Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.