Heather Siu Shum

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SLD5894 Issued in CA

Practice address

200 E Garvey Ave Ste 109
Monterey Park, CA 91755-1859

Phone

(626) 288-5045

NPI assigned

May 3, 2020

Last updated

May 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Starry Optical, Inc

  • Optician
  • Monterey Park, CA
  • NPI 1598919193
  NPD (past) Authorized official

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

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1619598406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E GARVEY AVE STE 109",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551859",
            "telephone_number": "626-288-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E GARVEY AVE STE 109",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551859",
            "telephone_number": "626-288-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUM",
        "first_name": "HEATHER",
        "middle_name": "SIU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SLD5894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu Shih, L.AC
• Aldric Jaeseung Shim, MD
• Shinobu Luisa Kaneko M.D. Inc
• Cindy Xinchun Shu, MD
• Sirivanh Kongbouakhay Shuffer, L.C.S.W.
• Rebecca Ermenia Silva, PA-C
• Kenneth T Sim, MD
• Simon Wong Dental Group Inc. (Calstate Dental)
• Kennedy Singer
• Singh a. Boun, MD & Nick Lee, MD, a Professional Corporation

• Optician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; 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.