Paula Shadid, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8025T Issued in CA

Legal business name

PAULA SHADID, O.D.

Practice address

987 Golf Course Dr
Rohnert Park, CA 94928-1892

Phone

(707) 584-1233

Fax

(707) 584-1387

NPI assigned

Nov 28, 2007

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paula Shadid, O.D.NPI 1447399662

Title

Owner

Phone

(707) 584-1233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paula Shadid, O.D. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula D. Shadid, O.D.

  • Optometrist
  • Rohnert Park, CA
  • NPI 1447399662
  Authorized official Same address or phone

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1386826642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 GOLF COURSE DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281892",
            "telephone_number": "707-584-1233",
            "fax_number": "707-584-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 GOLF COURSE DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281892",
            "telephone_number": "707-584-1233",
            "fax_number": "707-584-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA SHADID, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "SHADID",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-584-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8025T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "ZZZ15487Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paula Shadid, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Pareto
• Erica Park
• Linda R Park, MSW
• Patel and Gill Dental Corporation (Rohnert Park Smiles Dentistry)
• Neal Patel, D.D.S.
• Paula Pelavin, P.A.
• Nicole Lynn Penney
• Ryan Pepin
• Emily Perez, RN, IBCLC
• Petaluma Health Center Inc (Rohnert Park Health Center)

• Optometrist in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.