Individual provider Active NPI

Carolyn Y Shih, M.D.

  • Ophthalmology Physician
  • Wantagh, NY
National Provider Identifier
1093935413
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
238846-1 Issued in NY
Practice address
2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone
(516) 785-3900
NPI assigned
Apr 26, 2007
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 238846-1 NY Primary

Addresses

Primary practice location

2185 Wantagh Ave
Wantagh, NY 11793-3917

Mailing address

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 785-3900

Other practice location 1

689 Broadway
Massapequa, NY 11758-2320
Phone (516) 785-3900 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
9318V1OtherNYEMPIRE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000150 NY Practitioner - Ophthalmology 5092815712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Eye Care LLPGroup PAC ID 4880585967, 9 clinicians

Practice addresses (Care Compare)

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 785-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238846-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Eye Care, LLP Ophthalmology CurrentSince Sep 1, 2019 Accepting new patients
North Shore Long Island Jewish Healthcare Ophthalmology Past Accepting new patients

Locations

2185 Wantagh Ave
Wantagh, NY 11793
Phone (516) 783-3900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cshih@southshoreeyecare.direct.eyemdemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1093935413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900",
            "fax_number": "516-785-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "689 Broadway",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117582320",
            "country_code": "US",
            "telephone_number": "516-785-3900 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIH",
        "first_name": "CAROLYN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "238846-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "9318V1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.