Sharon S Cheriyan, OD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60296735 Issued in WA

Practice address

13304 94TH Avenue CT E
Puyallup, WA 98373-5502

Phone

(425) 369-6726

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon Thannickal Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max Vision PLLCGroup PAC ID 7911311444, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Max Vision PLLC

  • Optometrist
  • Tukwila, WA
  • NPI 1518560184
  Medicare reassignment Care Compare group NPD
• David R Benson MD OD PLLC

  • Ophthalmology Physician
  • Lakewood, WA
  • NPI 1346412483
  NPD
• James C. Simmons

  • Optometrist
  • Tukwila, WA
  • NPI 1467688945
  NPD (past)
• Teresa a E Wills OD

  • Optometrist
  • Milton, WA
  • NPI 1235204587
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1154675189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 94TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735502",
            "telephone_number": "971-732-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 94TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735502",
            "telephone_number": "425-369-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIYAN",
        "first_name": "SHARON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60296735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "THANNICKAL",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Y Chen, M.D.
• Chin Shang Chen
• Lisa Chen, MD
• Mei-Jen Chen, D.D.S.
• Andi Cheng
• Chet Jenkins PC
• Kong CHI
• Michael Wei-Tsi Chien, D.M.D.
• Charlene Childers
• Christina Dale Childs-Woolery

• Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.