Individual provider Active NPI

Shek on Gun, OD

  • Optometrist
  • Tustin, CA
National Provider Identifier
1396388906
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34445TLG Issued in CA
Practice address
528 E 1St St Ste B
Tustin, CA 92780-3346
Phone
(657) 757-2020
Fax
(657) 478-7761
NPI assigned
Oct 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34445TLG CA Primary

Addresses

Primary practice location

528 E 1St St Ste B
Tustin, CA 92780-3346

Mailing address

528 E 1St St Ste B
Tustin, CA 92780-3346
Phone (657) 757-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200311001284 CA Practitioner - Optometry 9335577022 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34445TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela I. Wu O.D. Inc. Optometrist CurrentSince Jan 26, 2020 Accepting new patients
Shek on Gun OD Inc CurrentSince Jul 5, 2024 Accepting new patients

Locations

5414 Walnut Ave
Ste B
Irvine, CA 92604
Phone (949) 262-9393

528 E 1st St
Ste B
Tustin, CA 92780
Phone (657) 757-2020

Organizations & group practices 2

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": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1396388906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E 1ST ST STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803346",
            "telephone_number": "657-757-2020",
            "fax_number": "657-478-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E 1ST ST STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803346",
            "telephone_number": "657-757-2020",
            "fax_number": "657-478-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUN",
        "first_name": "SHEK ON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-26",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34445TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.