Organization Active NPI

Kauser Sharieff OD Inc.

  • Vision Therapy Optometrist
  • Yorba Linda, CA
National Provider Identifier
1104510288
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
KAUSER SHARIEFF OD INC.
Practice address
17674 Yorba Linda Blvd
Yorba Linda, CA 92886-3927
Phone
(714) 996-6210
Fax
(714) 996-6212
NPI assigned
Jun 2, 2023
Organization subpart
Yes
Parent organization
KAUSER SHARIEFF OD INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Kauser V Sharieff, ODNPI 1033227665
Title
Optometrist
Phone
(714) 996-6210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X Primary

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 practice location 1

17411 Irvine Blvd Ste D
Tustin, CA 92780-3025
Phone (657) 900-2115

Other names 2

  • Vision Performance Optometric Center Doing business as
  • Kauser Sharieff Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023002913 CA Part B Supplier - Clinic/Group Practice 6800242116 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA; Yorba Linda, CA

National Provider Directory

National Provider Directory
Part of
Kauser Sharieff OD Inc

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 MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1104510288",
    "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": [
        {
            "address_1": "17411 Irvine Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803025",
            "country_code": "US",
            "telephone_number": "657-900-2115",
            "fax_number": "657-900-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAUSER SHARIEFF OD INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAUSER SHARIEFF OD INC.",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SHARIEFF",
        "authorized_official_first_name": "KAUSER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-996-6210",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Performance Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kauser Sharieff",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.