Mary Ann Chen Shui, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT11806-TLG Issued in CA

Practice address

1101 S Winchester Blvd Ste E156
San Jose, CA 95128-3903

Phone

(408) 244-8700

Fax

(408) 244-9560

NPI assigned

Oct 26, 2006

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

University of California - School of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Chow, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1760731434
  Medicare reassignment
• Michael Lee, O.D.

  • Optometrist
  • Santa Clara, CA
  • NPI 1891013819
  Medicare reassignment
• Judy Lee Tom, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1396706644
  Medicare reassignment

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.

• Mary Ann C Shui, OD

  • Optometrist
  • San Jose, CA
  • NPI 1831692250
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1386729713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45584 CHEROKEE LN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396820",
            "telephone_number": "408-278-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE E156",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903",
            "telephone_number": "408-244-8700",
            "fax_number": "408-244-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUI",
        "first_name": "MARY ANN",
        "middle_name": "CHEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11806-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ria Shroff
• Dahlia Shtaih
• Dorit Shternshain
• Olga Shtrom, DDS
• Chen-Tsen Shu, M.D.
• Philip Shui, DDS
• Poonam Minnie Shukla, LMFT
• Ruchita Shah Shukla, PTA
• Yogini Deepesh Shukla, M.D.
• Tara Christine Shull

• 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 Mar 12, 2018; 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.