Individual provider Active NPI

Vivian Wen-Jieh Shih, O.D.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1093137994
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14831 Issued in CA
Practice address
29 E Huntington Dr Ste B
Arcadia, CA 91006-3210
Phone
(626) 303-1888
NPI assigned
Jan 10, 2014
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14831 CA Primary

Addresses

Primary practice location

29 E Huntington Dr Ste B
Arcadia, CA 91006-3210

Mailing address

29 E Huntington Dr Ste B
Arcadia, CA 91006-3210
Phone (626) 303-1888

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
I20180620001431 CA Practitioner - Optometry 6709131444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Fong OD Inc Optometrist CurrentSince Nov 8, 2025 Accepting new patients
Eye Care West Optometry Optometrist CurrentSince May 9, 2018 Accepting new patients
Infocus Vision Optometric Center, Inc. Optometrist Past Accepting new patients

Locations

17100 Norwalk Blvd
Ste 107
Cerritos, CA 90703
Phone (562) 867-8302

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1093137994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E HUNTINGTON DR STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063210",
            "telephone_number": "626-303-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E HUNTINGTON DR STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063210",
            "telephone_number": "626-303-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "VIVIAN",
        "middle_name": "WEN-JIEH",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.