Tara Shakeri, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35603 Issued in CA

Practice address

500 Tamal PLZ Ste 503
Corte Madera, CA 94925-1184

Phone

(415) 925-9091

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1548838352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 503",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251184",
            "telephone_number": "415-925-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 503",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251184",
            "telephone_number": "415-925-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2043 College Way",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161797",
            "country_code": "US",
            "telephone_number": "503-352-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKERI",
        "first_name": "TARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Sebastian, LCSW
• Tamar Marietta Seiver, MD
• Select Cal Physical Therapy PC
• Select Cal Physical Therapy PC
• Diana Servin Alcantar
• Sharon Freeman Optometry Inc
• Rebecca Short-Fried, DO
• Isabel Sible, PHD
• Elizabeth Silberberg, AMFT
• Ashley Lynn Simon, MS, AMFT, APCC

• Optometrist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.