Individual provider Active NPI

Sylvia Elise Tillman, OD

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1174730824
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9726T Issued in CA
Practice address
1521 Linda Sue LN
Encinitas, CA 92024-2424
Phone
(760) 634-7699
Fax
(760) 634-7699
NPI assigned
May 16, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9726T CA Primary

Addresses

Primary practice location

1521 Linda Sue LN
Encinitas, CA 92024-2424

Mailing address

1521 Linda Sue LN
Encinitas, CA 92024-2424
Phone (760) 634-7699

Other practice location 1

320 Santa Fe Dr Ste 104
Encinitas, CA 92024-5139
Phone (800) 898-2020

Other practice location 2

3440 Lomita Blvd Ste 100
Torrance, CA 90505-4810
Phone (800) 898-2020

Other practice location 3

5565 Grossmont Center Dr Ste 551
LA Mesa, CA 91942-3078
Phone (800) 898-2020

Other practice location 4

81952 US Highway 111 Ste Bcd
Indio, CA 92201-9799
Phone (800) 898-2020

Other practice location 5

10549 Scripps Poway Pkwy Ste G
San Diego, CA 92131-3963
Phone (858) 530-2800

Other practice location 6

5638 Mission Center Rd Ste 103
San Diego, CA 92108-4348
Phone (619) 295-2900

Other practice location 7

3450 Kurtz St Ste D
San Diego, CA 92110-4451
Phone (619) 291-4810

Other practice location 8

4822 Newport Ave
San Diego, CA 92107-3111
Phone (619) 222-0559

Other practice location 9

9320 Carmel Mountain Rd Ste E
San Diego, CA 92129-2159
Phone (858) 484-1500

Other practice location 10

4060 Fairmount Ave
San Diego, CA 92105-1608
Phone (619) 280-4213

Other names 1

  • Dr. Sylvia Elise Shenhav Former name

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
I20080923000389 CA Practitioner - Optometry 4385711027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1990
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2653 Gateway Rd
Suite 101
Carlsbad, CA 92009-1758
Phone (760) 476-1921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT9726TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Fourth Optometric Care of California Optometrist Past Accepting new patients

Locations

2653 Gateway Rd
Ste 101
Carlsbad, CA 92009
Phone (760) 476-1921

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 4

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1174730824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LINDA SUE LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242424",
            "telephone_number": "760-634-7699",
            "fax_number": "760-634-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 LINDA SUE LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242424",
            "telephone_number": "760-634-7699",
            "fax_number": "760-634-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Santa Fe Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245139",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Lomita Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054810",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 551",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423078",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81952 US Highway 111 Ste Bcd",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922019799",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10549 Scripps Poway Pkwy Ste G",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921313963",
            "country_code": "US",
            "telephone_number": "858-530-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5638 Mission Center Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084348",
            "country_code": "US",
            "telephone_number": "619-295-2900",
            "fax_number": "888-210-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Kurtz St Ste D",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921104451",
            "country_code": "US",
            "telephone_number": "619-291-4810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4822 Newport Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921073111",
            "country_code": "US",
            "telephone_number": "619-222-0559",
            "fax_number": "619-222-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9320 Carmel Mountain Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921292159",
            "country_code": "US",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-9143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4060 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051608",
            "country_code": "US",
            "telephone_number": "619-280-4213",
            "fax_number": "619-510-4648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "SYLVIA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9726T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "SHENHAV",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.