Ami P Shah

Primary specialty

OptometristTaxonomy code 152W00000X

License

12341 Issued in CA

Legal business name

AMI P SHAH

Practice address

7119 Elk Grove Blvd
Ste 123
Elk Grove, CA 95758-9568

Phone

(916) 478-2778

Fax

(916) 478-2779

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ami Patel Shah, O.D.

Title

Optometrist

Phone

(916) 478-2778

Specialties & licenses 1

Addresses

Other names 1

• Axis Eye Optometric Group Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clinton D. Pon, OD

  • Optometrist
  • Elk Grove, CA
  • NPI 1013052935
  NPD (past)
• Viraj J Shah, O.D.

  • Optometrist
  • Elk Grove, CA
  • NPI 1639256274
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1306116116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 ELK GROVE BLVD",
            "address_2": "STE 123",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589568",
            "telephone_number": "916-478-2778",
            "fax_number": "916-478-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 ELK GROVE BLVD",
            "address_2": "STE 123",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589568",
            "telephone_number": "916-478-2778",
            "fax_number": "916-478-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMI P SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "916-478-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Eye Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Ambion, LVN
• Rosary Ambriz
• Josie Ann Ambur
• America West Medical Transportation Inc
• Candace Amey
• Aarti Amin
• Florence Amin
• Maria Alia Amin
• Neptoune N Amin
• Aina Syaza Amir

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.