Jinen Shah, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003093 Issued in GA

Practice address

1100 Johnson Ferry Rd Ste 120
Marietta, GA 30068-2700

Phone

(678) 263-2226

Fax

(678) 263-2320

NPI assigned

May 31, 2018

Last updated

May 15, 2020By the provider in NPPES

Sex

Male

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

Enrolled in GA

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perry K Lee OD PCGroup PAC ID 8224149455, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Luminary Eye Care, LLC

  • Optometrist
  • Marietta, GA
  • NPI 1619515707
  Medicare reassignment NPD Authorized official
• Perry K Lee OD PC

  • Optometrist
  • Greensboro, GA
  • NPI 1184786683
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1629560032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 120",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682700",
            "telephone_number": "678-263-2226",
            "fax_number": "678-263-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 120",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682700",
            "telephone_number": "678-263-2226",
            "fax_number": "678-263-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JINEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aashka Shah, MD
• Ashish Shah
• Dimple D. Shah, M.D.
• Erica R Shah, O.D.
• Hetal Shah, MD
• Kajal K Shah
• Kandarp Shah
• Leena Shah, PA
• Nikhil S Shah, M.D.
• Nirav K Shah, PHARM.D.

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.