Active NPI
Katherine Lynette Shahin
- Optometrist
- Colorado Springs, CO
National Provider Identifier
1194630103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0004251
- Practice address
- 320 E Fontanero St Ste 201
Colorado Springs, CO 80907-7525 - Phone
- (719) 559-2020
- NPI assigned
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0004251 | CO | Primary |
Addresses
Primary practice location
320 E Fontanero St Ste 201
Colorado Springs, CO 80907-7525
Mailing address
19110 SW 197TH Ave
Miami, FL 33187-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1194630103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19110 SW 197TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331871959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E FONTANERO ST STE 201",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077525",
"telephone_number": "719-559-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHIN",
"first_name": "KATHERINE",
"middle_name": "LYNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0004251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.