Tina Chavez Shinmori, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8587 Issued in CA

Practice address

214 Jackson St
San Jose, CA 95112-3201

Phone

(408) 293-3730

NPI assigned

Nov 30, 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

Specialty

Optometry

Education

Southern California College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fifth Optometric Care of CaliforniaGroup PAC ID 4284096298, 22 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Fifth Optometric Care of California

  • Optometrist
  • San Jose, CA
  • NPI 1215627914
  Medicare reassignment Care Compare group NPD
• Shinmori Optometry, Inc.

  • Optometrist
  • San Jose, CA
  • NPI 1013985266
  NPD Authorized official
• Fifth Optometric Care of California

  • Optometrist
  • Taft, CA
  • NPI 1699504746
  NPD
• Fifth Optometric Care of California

  • Optometrist
  • San Jose, CA
  • NPI 1871271353
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1376610592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17535 PINE CONE CT",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950302235",
            "telephone_number": "408-315-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123201",
            "telephone_number": "408-293-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINMORI",
        "first_name": "TINA",
        "middle_name": "CHAVEZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Suhyun Shin
• Silvia Shin, DO
• Yunsung Shin
• Shine Medical of Ca PC
• Shinmori Optometry, Inc.
• John Bradley Shinn, MD
• Deanna N Shinsky
• Megumi Shiomi
• Jonathan Howard Shipley, MD
• Melanie Jane Shipley, M.A.

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.