Active NPI
Seena Shyu, O.D.
- Optometrist
- Red Oak, TX
National Provider Identifier
1316296213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6967TG
- Practice address
- 100 S Ryan Dr
Red Oak, TX 75154-4214 - Phone
- (972) 576-1881
- Fax
- (972) 576-1441
- NPI assigned
- Sep 6, 2012
- 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 | 6967TG | TX | Primary |
Addresses
Primary practice location
100 S Ryan Dr
Red Oak, TX 75154-4214
Mailing address
100 S Ryan Dr
Wal-Mart Vision Center
Red Oak, TX 75154-4214
Phone (972) 576-1881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6967TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353196800000",
"number": "1316296213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S RYAN DR",
"address_2": "WAL-MART VISION CENTER",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544214",
"telephone_number": "972-576-1881",
"fax_number": "972-576-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S RYAN DR",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544214",
"telephone_number": "972-576-1881",
"fax_number": "972-576-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHYU",
"first_name": "SEENA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6967TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.