Kathleen Shen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10163T Issued in CA

Practice address

286 State St
Los Altos, CA 94022-2813

Phone

(650) 948-6910

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Lite Optometry, Inc.

  • Optometrist
  • Los Altos, CA
  • NPI 1851827794
  Medicare reassignment NPD
• Fourth Optometric Care of California

  dba Mt View Optometry and Contact Lens Clinic

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment NPD
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD
• Mountain View Optometry and Contact Lens Clinic

  • Optometrist
  • Mountain View, CA
  • NPI 1932156122
  NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1336113372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222813",
            "telephone_number": "650-948-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222813",
            "telephone_number": "650-948-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10163T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Sharaun, M.F.T
• Barbara Jean Shea, PH.D.
• Ella Shechtman-Cory, PH.D.
• Shiva Sheikholeslam, D.M.D., M.D.S.
• Gail H C Shen, PH.D.
• Anna Sheng
• Karen Shin, MD
• Sachiko Shirota
• Cynthia Sidaris, OTR/L
• Silicon Valley Acupuncture Professional Corporation

• Optometrist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.