Gina C Shao, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12441T Issued in CA

Practice address

2322 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-3206

Phone

(805) 557-1055

NPI assigned

Sep 14, 2006

Last updated

Jun 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Portal Optometry, Inc

  dba Valley Optometry Eyecare of North Hollywood

  • Optometrist
  • North Hollywood, CA
  • NPI 1215212626
  Medicare reassignment NPD
• Valley Optometry Eyecare Center, Inc.

  dba Valley Optometry Eyecare

  • Optometrist
  • Reseda, CA
  • NPI 1649400920
  Medicare reassignment NPD
• Clear Vision Optometry, Inc.

  • Optometrist
  • North Hollywood, CA
  • NPI 1669666723
  NPD (past)
• Lawrence G. Simons

  • Vision Therapy Optometrist
  • Calabasas, CA
  • NPI 1386770865
  NPD (past)
• Linden Optometry a Professional Corporation

  • Optometrist
  • Pasadena, CA
  • NPI 1831201078
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1023113107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623206",
            "telephone_number": "805-557-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "GINA",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12441T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0124410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahriar Ghodsian MD Inc
• Puja Shahrouki, MD
• Shahrzad Shareghi MD PC
• Kristine Shahverdyan, OD
• Daniel Scott Shannon, D.C.
• Shariar Cohen MD Corp
• Shariar Cohen MD Corp
• Shariar Cohen, M.D., Corp.
• Kelly Sharko
• Nishant Sharma, MD

• Optometrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.