Individual provider Active NPI

Dena Shahani, O.D.

  • Optometrist
  • Escondido, CA
National Provider Identifier
1134533953
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14956 Issued in CA
Practice address
1284 Auto Park Way Ste C
Escondido, CA 92029-2222
Phone
(760) 745-9065
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009530 NY
Optometrist 152W00000X OPT-002618 AZ
Optometrist 152W00000X OPT.0003895 CO
Optometrist 152W00000X NA2937 MD
Optometrist 152W00000X 14956 CA Primary

Addresses

Primary practice location

1284 Auto Park Way Ste C
Escondido, CA 92029-2222

Mailing address

6425 Oakridge Rd
San Diego, CA 92120-2151
Phone (651) 808-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, CO, MD, DC, NY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20220927003869 AZ Practitioner - Optometry 8123404274 Reassigns benefits to 1 organization
I20230315001609 CA Practitioner - Optometry 8123404274 Reassigns benefits to 1 organization
I20230506000317 CO Practitioner - Optometry 8123404274 Reassigns benefits to 3 organizations
I20230908001698 MD Practitioner - Optometry 8123404274 Reassigns benefits to 1 organization
I20231220003161 DC Practitioner - Optometry 8123404274 Reassigns benefits to 2 organizations
I20240201002463 NY Practitioner - Optometry 8123404274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002618AZMDOptometrist
OPT.0003895COMDOptometrist
NA2937MDMDOptometrist
009530NYMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 24, 2023 Accepting new patients
Yah Vision Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 24, 2023 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Sep 14, 2022 Accepting new patients
Empire Vision Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Sep 7, 2023 Accepting new patients
Yah Vision LLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Mar 7, 2023 Accepting new patients
Third Optometric Care of California Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Third Optometric Care of California Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Apr 17, 2023 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Apr 17, 2023 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Sep 7, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Sep 14, 2022 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Yah Vision LLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Eyecenter Optometrics, a Professional Corporation Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Past Accepting new patients

Locations (25 of 64)

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

2840 Highway 95
Bullhead City, AZ 86442
Phone (928) 758-1450

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

14175 W Indian School Rd
Ste B9
Goodyear, AZ 85395
Phone (623) 536-2575

3505 N Stockton Hill Rd
Ste 180
Kingman, AZ 86409
Phone (928) 757-7670

85 Lake Havasu Ave N
Ste 108
Lake Havasu City, AZ 86403
Phone (928) 420-8810

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

8215 W Bell Rd
Ste 122
Peoria, AZ 85382
Phone (623) 878-6948

1820 N 75th Ave
Ste 102
Phoenix, AZ 85035
Phone (623) 849-0428

5127 W Indian School Rd
#161
Phoenix, AZ 85031
Phone (623) 245-7014

7625 W Lower Buckeye Rd
Ste 105
Phoenix, AZ 85043
Phone (623) 214-3848

711 E Bell Rd
Ste 2
Phoenix, AZ 85022
Phone (602) 841-9947

6135 N 35th Ave
Ste 139
Phoenix, AZ 85017
Phone (602) 973-5868

85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286

13856 W Waddell Rd
Ste 103
Surprise, AZ 85379
Phone (623) 546-9557

16995 W Greenway Rd
Ste 107
Surprise, AZ 85388
Phone (623) 214-4823

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

1825 E Guadalupe Rd
Ste F107
Tempe, AZ 85283
Phone (480) 730-1884

1785 W Valencia Rd
Unit 101
Tucson, AZ 85746
Phone (520) 807-5721

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1134533953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 OAKRIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202151",
            "telephone_number": "651-808-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 AUTO PARK WAY STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292222",
            "telephone_number": "760-745-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHANI",
        "first_name": "DENA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009530",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002618",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003895",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "NA2937",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.