Jack Shih OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13565 Issued in CA

Legal business name

JACK SHIH OD A PROFESSIONAL CORPORATION

Doing business as

I Wear Optometry

Practice address

1679 S Azusa Ave
Hacienda Heights, CA 91745-3832

Phone

(626) 810-0858

Fax

(626) 810-1308

NPI assigned

Jul 25, 2008

Last updated

Mar 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chun-Chieh Jack Shih, O.D.NPI 1881850808

Title

Owner

Phone

(626) 810-0858

Specialties & licenses 1

Addresses

Other names 1

• I Wear Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jack Shih OD a Professional Corporation

  dba Optovision Care Optometric Center

  • Optometrist
  • Whittier, CA
  • NPI 1114338324

  O20081003000344

  Same enrollment

Tax ID family

I Wear Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack Shih OD a Professional Corporation

  dba Optovision Care Optometric Center

  • Optometrist
  • Whittier, CA
  • NPI 1114338324
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chun-Chieh Jack Shih, O.D.

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1881850808
  Medicare reassignment NPD Authorized official
• Catherine Huang, O.D.

  • Optometrist
  • Montebello, CA
  • NPI 1518976448
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584748800000",
    "number": "1093970444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-810-0858",
            "fax_number": "626-810-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-810-0858",
            "fax_number": "626-810-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK SHIH OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "CHUN-CHIEH",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-810-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Wear Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shereen S Ibrahim
• Maly Ieng, RPH
• Viola S. Iskarous, DDS
• Emmy Islas
• J Jeon DDS, Inc. (Hacienda Dentistry)
• Joyce A Jacob, SCHOOL NURSE
• Juliana Jacobs
• James Song MD a Professional Corporation
• James Y Kim D.D.S Inc
• Jea Young Jeon, DDS

• Optometrist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.