Active NPI
Noha M Shehata, O.D.
- Corneal and Contact Management Optometrist
- Rancho Palos Verdes, CA
National Provider Identifier
1356654180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 15185TLG
- Practice address
- 28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434 - Phone
- (504) 232-8191
- NPI assigned
- Jul 21, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1588621-T | LA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 7612TG | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 15185TLG | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OEG002584 | PA |
Addresses
Primary practice location
28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Mailing address
28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Phone (310) 831-0841
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 |
|---|---|---|---|
| 1588621-T | LA | MD | Optometrist |
| 15185TLG | CA | MD | Corneal and Contact Management Optometrist |
| OEG002584 | PA | MD | Corneal and Contact Management Optometrist |
| 7612TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
Locations
9107 Garfield Ave
Fountain Vly, CA 92708
Phone (714) 963-2020
2280 E Carson St
Long Beach, CA 90807
Phone (562) 422-2020
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1356654180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28356 S WESTERN AVE",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902751434",
"telephone_number": "310-831-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28356 S WESTERN AVE",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902751434",
"telephone_number": "504-232-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHATA",
"first_name": "NOHA",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1588621-T",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "7612TG",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "15185TLG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG002584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Palos Verdes, CA
- Senior Manor Care, Inc. (Senior Manor Care)
- Norma Serina, R.N.
- Bahareh Seyed Mahmoud
- Ashley Shaheri, DDS
- Shawn Lee and Manoranjani Sambangi Dental Corporation (Rancho Palos Verdes Dentistry Dental Group)
- Meng Shen
- Victoria A. Shook, D.D.S.
- Simon Therapy California a Licesnsed Clinical Social Worker Professional Corporation
- Jan Feingold Simon, LCSW
- Mina Solhjou, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.