Individual provider Active NPI

Mahnoor Shahzad

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1467217463
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35639 Issued in CA
Practice address
910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone
(805) 925-2637
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35639 CA Primary

Addresses

Primary practice location

910 E Stowell Rd
Santa Maria, CA 93454-7001

Mailing address

910 E Stowell Rd
Santa Maria, CA 93454-7001

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
I20240410001102 CA Practitioner - Optometry 4981042967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Eyecare Medical Group a Medical CorporationGroup PAC ID 5597715391, 14 clinicians

Practice addresses (Care Compare)

910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone (805) 925-2637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Eyecare Medical Group a Medical Corporation CurrentSince Mar 27, 2024 Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Optometrist Current Accepting new patients

Locations

425 W Central Ave
Ste 102
Lompoc, CA 93436
Phone (805) 736-2020

590 Harbor St
Morro Bay, CA 93442
Phone (805) 772-1269

910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637

Interoperability endpoints

  • Direct secure messaging: mahnoor.shahzad@direct.shepardeye.nextgenshare.com

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1467217463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001",
            "telephone_number": "805-925-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "MAHNOOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.