Kristine Shahverdyan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35691 Issued in CA

Practice address

2230 Lynn Rd Ste 102
Thousand Oaks, CA 91360-1920

Phone

(805) 495-0458

NPI assigned

May 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miramar Eye Specialists Medical Group IncGroup PAC ID 5698662823, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: k.shahverdyan@direct.mesmg.com
• Direct secure messaging: kristine.shahverdyan@uprisedirect.com

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.

• Miramar Eye Specialists Medical Group, Inc

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1992746382

  Optometrist

  Medicare reassignment Care Compare group NPD
• Greta Torossian, Optometric Corp.

  • Optometrist
  • Glendale, CA
  • NPI 1821152273
  Medicare reassignment NPD
• Advanced Eyecare Professional Optometric Group

  • Optometrist
  • Glendale, CA
  • NPI 1306035118
  NPD
• The Pilates PT Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Sherman Oaks, CA
  • NPI 1457692410
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1316786643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 ORO VISTA AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601920",
            "telephone_number": "805-495-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHVERDYAN",
        "first_name": "KRISTINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Mukesh Shah, MD
• Shibani Shah
• Shahriar Ghodsian MD Inc
• Puja Shahrouki, MD
• Shahrzad Shareghi MD PC
• Daniel Scott Shannon, D.C.
• Gina C Shao, O.D.
• Shariar Cohen MD Corp
• Shariar Cohen MD Corp
• Shariar Cohen, M.D., Corp.

• Optometrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.