Individual provider Active NPI

Sharon Samra Hiyama, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1154388692
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12808T Issued in CA
Practice address
1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone
(559) 449-5050
Fax
(559) 432-2632
NPI assigned
Apr 27, 2006
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12808T CA Primary

Addresses

Primary practice location

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

Other identifiers 1

IdentifierTypeStateIssuer
SD0128080MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050813000251 CA Practitioner - Optometry 5597795187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Vision Center Medical Group IncGroup PAC ID 1052219409, 10 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

Merit-based Incentive Payment System (MIPS)

Final score
93.52 of 100Reported as group
Quality
87.97
Promoting interoperability
96
Improvement activities
40
Cost
79.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12808TCAMDOptometrist
12808CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Center Medical Group, Inc. Optometrist CurrentSince Oct 1, 2007 Accepting new patients

Locations

1360 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 449-5049

7015 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 226-0848

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sharon.hiyama.p2@direct.californiaeye.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1154388692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5050",
            "fax_number": "559-432-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5050",
            "fax_number": "559-432-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIYAMA",
        "first_name": "SHARON",
        "middle_name": "SAMRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12808T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0128080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.