Viraj J Shah, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12464 Issued in CA

Practice address

4810 Elk Grove Blvd
Suite 160
Elk Grove, CA 95758-4186

Phone

(916) 478-2778

Fax

(916) 478-2779

NPI assigned

Nov 1, 2006

Last updated

Sep 26, 2013By the provider in NPPES

Sex

Male

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 1

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

Specialty

Optometry

Education

University of California - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Third Optometric Care of CaliforniaGroup PAC ID 8325456536, 16 clinicians

Practice addresses (Care Compare)

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.

• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103
  Medicare reassignment Care Compare group NPD
• Third Optometric Care of California PC

  dba Antelope Mall Vision Center Optometry

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Third Optometric Care of California PC

  dba Sacramento Optometric Group

  • Optometrist
  • Sacramento, CA
  • NPI 1386222172
  NPD
• Ami P Shah

  dba Axis Eye Optometric Group

  • Optometrist
  • Elk Grove, CA
  • NPI 1306116116
  NPD (past)
• Third Optometric Care of California

  dba Axis Eye Optometric Group

  • Optometrist
  • Elk Grove, CA
  • NPI 1295309623
  NPD (past)
• Trinh Family Optometric Corporation

  dba Eye Place Optometry

  • Optometrist
  • Elk Grove, CA
  • NPI 1679948467
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1639256274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 ELK GROVE BLVD",
            "address_2": "SUITE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584186",
            "telephone_number": "916-478-2778",
            "fax_number": "916-478-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 ELK GROVE BLVD",
            "address_2": "SUITE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584186",
            "telephone_number": "916-478-2778",
            "fax_number": "916-478-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRAJ",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0124640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G Jude Shadday, DO
• Ami Patel Shah, O.D.
• Seema Prakash Shah, MD
• Shazad Shah
• Syeda Salma Shah
• Shahin Shahbazi, MD
• Ruben Shahbazian, D.D.S
• Intisar Shazia Shaheed, PA-C
• Michelle Shanahan
• Rojin Sharaflari

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.