Individual provider Active NPI

Kauser V Sharieff, O.D. FCOVD

  • Low Vision Rehabilitation Optometrist
  • Yorba Linda, CA
National Provider Identifier
1033227665
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
10527TPL Issued in CA
Practice address
17674 Yorba Linda Blvd
Yorba Linda, CA 92886-3927
Phone
(714) 996-6210
Fax
(714) 996-6212
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10527 CA
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 10527 CA
Low Vision Rehabilitation Optometrist 152WL0500X 10527TPL CA Primary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X 10527 CA
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 10527 CA
Vision Therapy Optometrist 152WV0400X 10527 MO

Addresses

Primary practice location

17674 Yorba Linda Blvd
Yorba Linda, CA 92886-3927

Mailing address

17674 Yorba Linda Blvd
Yorba Linda, CA 92886-3927
Phone (714) 996-6210

Other identifiers 1

IdentifierTypeStateIssuer
SD10527MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071010000743 CA Practitioner - OptometryPractitioner - Other (Physician) 9133215833 Reassigns benefits to 1 organization
Practice locations: Yorba Linda, CA; Tustin, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17674 Yorba Linda Blvd
Yorba Linda, CA 92886-3927
Phone (714) 996-6210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10527TPLCAMDLow Vision Rehabilitation Optometrist
10527MOMDVision Therapy Optometrist
10527CAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Kauser Sharieff OD Inc. Vision Therapy CurrentSince Aug 1, 2023 Accepting new patients

Locations

17411 Irvine Blvd
Ste D
Tustin, CA 92780
Phone (657) 900-2115

17674 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 996-6210

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1033227665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17674 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863927",
            "telephone_number": "714-996-6210",
            "fax_number": "714-996-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17674 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863927",
            "telephone_number": "714-996-6210",
            "fax_number": "714-996-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIEFF",
        "first_name": "KAUSER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D. FCOVD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10527",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "10527",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10527TPL",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10527",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "10527",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "10527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD10527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.