Basanti Shaw, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP9356T Issued in CA

Practice address

1835 S Centre City Parkway
Suite #E
Escondido, CA 92025-6544

Phone

(760) 747-9300

Fax

(760) 747-2057

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023145646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 S CENTRE CITY PKWY",
            "address_2": "SUITE #E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256544",
            "telephone_number": "760-747-9300",
            "fax_number": "760-747-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S CENTRE CITY PARKWAY",
            "address_2": "SUITE #E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256544",
            "telephone_number": "760-747-9300",
            "fax_number": "760-747-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BASANTI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP9356T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Sharafsaleh
• Ghazala Sharieff, M.D.
• Lorra Marie Sharp, MD
• Jeffrey David Sharpless Jr.
• Jason Shaver, PT
• Lindsley Marie Shaw
• Mark A Shaw, BC-HIS
• Summer Shea
• Christa Marie Shearer
• Mallory Sheehan

• Optometrist in Escondido, CA
• Providers in Escondido, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.