Individual provider Active NPI

Sharnelle Naomi Kamibayashi, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1023662012
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003571 Issued in CO
Practice address
1033 S Gaylord St
Denver, CO 80209-4635
Phone
(303) 282-5427
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT003171 GA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT.0003571 CO Primary

Addresses

Primary practice location

1033 S Gaylord St
Denver, CO 80209-4635

Mailing address

1033 S Gaylord St
Denver, CO 80209-4635
Phone (808) 383-9158

Other practice location 1

550 Peachtree St NE Ste 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210505001230 CO Practitioner - Optometry 0941532493 Reassigns benefits to 2 organizations
I20250723004206 HI Practitioner - Optometry 0941532493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care, Inc.Group PAC ID 2466343850, 2 clinicians

Practice addresses (Care Compare)

563 Farrington Hwy
Suite 205
Kapolei, HI 96707-2031
Phone (808) 693-8789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003571COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
Family Vision Care, Inc. Optometrist CurrentSince Jul 16, 2025 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients

Locations

5640 S Parker Rd
Aurora, CO 80015
Phone (303) 369-2020

8586 E Arapahoe Rd
Ste 100
Centennial, CO 80112
Phone (303) 721-4221

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

563 Farrington Hwy
Ste 205
Kapolei, HI 96707
Phone (808) 693-8789

Networks

  • HI PPO
  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1023662012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 S GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094635",
            "telephone_number": "808-383-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 S GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094635",
            "telephone_number": "303-282-5427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Peachtree St NE Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082248",
            "country_code": "US",
            "telephone_number": "404-897-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMIBAYASHI",
        "first_name": "SHARNELLE",
        "middle_name": "NAOMI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003171",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.