Individual provider Active NPI

Lauri Kimiye Shigio, O.D.

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1346371960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10732T Issued in CA
Practice address
325 N Wiget LN
Suite 120
Walnut Creek, CA 94598-2435
Phone
(925) 937-6870
Fax
(925) 937-3282
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10732T CA Primary

Addresses

Primary practice location

325 N Wiget LN
Suite 120
Walnut Creek, CA 94598-2435

Mailing address

325 N Wiget LN
Suite 120
Walnut Creek, CA 94598-2435
Phone (925) 937-6870

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

LicenseStateTypeSpecialty
10732TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346371960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N WIGET LN",
            "address_2": "SUITE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982435",
            "telephone_number": "925-937-6870",
            "fax_number": "925-937-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N WIGET LN",
            "address_2": "SUITE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982435",
            "telephone_number": "925-937-6870",
            "fax_number": "925-937-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGIO",
        "first_name": "LAURI",
        "middle_name": "KIMIYE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10732T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.