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

Practice address

16170 Leffingwell Rd Ste 7
Whittier, CA 90603-3170

Phone

(562) 947-6789

Fax

(562) 947-5688

NPI assigned

May 12, 2014

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

(562) 947-6789

Specialties & licenses 1

Addresses

Other names 1

• Optovision Care Optometric Center 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

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1093970444

  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

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1093970444
  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.

• Chun-Chieh Jack Shih, O.D.

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1881850808
  NPD Authorized official
• Abigayle Ancheta Gutierrez, OD

  • Optometrist
  • San Dimas, CA
  • NPI 1134640048
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584748800000",
    "number": "1114338324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 LEFFINGWELL RD STE 7",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033170",
            "telephone_number": "562-947-6789",
            "fax_number": "562-947-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 LEFFINGWELL RD STE 7",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033170",
            "telephone_number": "562-947-6789",
            "fax_number": "562-947-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK SHIH OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "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": "562-947-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optovision Care Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Izadi & Szeto, a Dental Corporation
• Izadi & Szeto, a.D.C.
• George Glenn Izmirian, M.D.
• J Anthony Britto MD Inc
• J&J Homecare LLC
• Herlinda Q Jackson, R.N.
• Paul Frederick Jacobsen, MD
• Jordan Alan Jacobson, DC
• Jacqueline Surrency LLC
• Nereida M Jacquez

• Optometrist in Whittier, CA
• Providers in Whittier, 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.