Brian Shih, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

878 Issued in NV

Practice address

4388 E Craig Rd Ste 150
Las Vegas, NV 89115-1962

Phone

(702) 643-9191

NPI assigned

Jul 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Julie Chang, O D, Inc

  • Optometrist
  • Las Vegas, NV
  • NPI 1811171283
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306220082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 OAK BEND DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351227",
            "telephone_number": "310-310-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 E CRAIG RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151962",
            "telephone_number": "702-643-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Highway Junction 57, Route 9",
            "address_2": "Crownpoint Service Unit",
            "address_purpose": "LOCATION",
            "city": "Crownpoint",
            "state": "NM",
            "postal_code": "87313",
            "country_code": "US",
            "telephone_number": "505-786-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIH",
        "first_name": "BRIAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15261",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DMV (DRIVER'S LICENSE)",
            "identifier": "D4552188",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA OPTOMETRY LICENSE",
            "identifier": "878",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Shields, PA-C
• Vanessa Carol Shields
• Marlene Shiels
• Rodolfo Shiels
• Fasika Ambaw Shiferaw
• David Quan Shih, MD
• Erica Shih, APRN
• Geoffrey Shih, OT
• Janice Shih, DO
• Jimmy Shih, M.D.

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.