Paula D. Shadid, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 8025 TPA Issued in CA

Practice address

987 Golf Course Dr
Rohnert Park, CA 94928-1892

Phone

(707) 584-1233

NPI assigned

Feb 5, 2007

Last updated

Jul 18, 2008By the provider in NPPES

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Vision Group, Inc.

  dba Advanced Vision Optometry

  • Optometrist
  • Santa Rosa, CA
  • NPI 1790200624
  Medicare reassignment NPD
• Paula Shadid, O.D.

  • Optometrist
  • Rohnert Park, CA
  • NPI 1386826642
  Authorized official Same address or phone
• Eos Eyecare Optometric Group

  • Optometrist
  • Santa Rosa, CA
  • NPI 1013320472
  NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1447399662",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADID",
        "first_name": "PAULA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8025 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0080250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MES",
            "identifier": "13102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Select Cal Physical Therapy PC (Select Physical Therapy)
• Monica Seo
• Leah Woodstock Sevillia
• April Seymon, M.A.T., A.T.C.
• Maureen Isabella Shabazz, LCSW
• Misha Sharif, MD
• Susan B. Shea, FNP
• Trisha Maureen Sheldon
• Ila Adrienne Sherman, OTR
• Zachary Siebel, DPT

• 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 Jul 18, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.