Benny PO-Young Shao, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11741 Issued in CA

Practice address

960 Saratoga Ave Ste 213
San Jose, CA 95129-3413

Phone

(408) 837-7380

Fax

(408) 516-0800

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1164520292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SARATOGA AVE STE 213",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293413",
            "telephone_number": "408-837-7380",
            "fax_number": "408-516-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SARATOGA AVE STE 213",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293413",
            "telephone_number": "408-837-7380",
            "fax_number": "408-516-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "BENNY",
        "middle_name": "PO-YOUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11741",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shangri-la Wellness Center
• Sandhya Shankar, LCSW,LMFT
• Mariana Nenadic Shanks, LMFT
• Kristine Young Le Shannon
• Shantiakazemi DDS Apc
• Jiaxi Shao, LPCC
• Shapa, Inc.
• Janice Lee Shapiro, LICENSED MFT
• Talia Shapiro
• Thomas M Shapiro, M.D.

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.