Individual provider Active NPI

Paul Shahinian, OD

  • Optometrist
  • Fort Lee, NJ
National Provider Identifier
1245296755
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4165 Issued in NJ
Practice address
104 Linwood PLZ
Fort Lee, NJ 07024-3701
Phone
(201) 461-0661
Fax
(201) 461-4111
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4165 NJ Primary

Addresses

Primary practice location

104 Linwood PLZ
Fort Lee, NJ 07024-3701

Mailing address

104 Linwood PLZ
Fort Lee, NJ 07024-3701
Phone (201) 461-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080513000289 NJ Practitioner - Optometry 5799854014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 Linwood PLZ
Fort Lee, NJ 07024-3701
Phone (201) 461-0661

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4165NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Paul Shahinian, LLC Optometrist CurrentSince Mar 1, 1991 Accepting new patients
Junior Eagle Corporation PastSince Dec 9, 2002 Accepting new patients

Locations

104 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 461-0010

Interoperability endpoints

  • Direct secure messaging: directmessaging@drpaulshahinian.eyefinity-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1245296755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LINWOOD PLZ",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "201-461-0661",
            "fax_number": "201-461-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LINWOOD PLZ",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "201-461-0661",
            "fax_number": "201-461-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHINIAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.