NPIMap

Organization Active NPI

Shinmori Optometry, Inc.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1013985266
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR 1134 Issued in CA
Legal business name
SHINMORI OPTOMETRY, INC.
Practice address
214 Jackson St
San Jose, CA 95112-3201
Phone
(408) 293-3730
Fax
(408) 293-2131
NPI assigned
Mar 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Dr. Tina Shinmori, O.D.NPI 1376610592
Title
President
Phone
(408) 293-3730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X COR 1134 CA Primary

Addresses

Primary practice location

214 Jackson St
San Jose, CA 95112-3201

Mailing address

214 Jackson St
San Jose, CA 95112-3201
Phone (408) 293-3730

Other names 1

  • Shinmori Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1013985266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123201",
            "telephone_number": "408-293-3730",
            "fax_number": "408-293-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123201",
            "telephone_number": "408-293-3730",
            "fax_number": "408-293-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINMORI OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-12",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "SHINMORI",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-293-3730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shinmori Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.