Individual provider Active NPI

Vyoma Shinde, OD

  • Optometrist
  • Sunnyvale, CA
National Provider Identifier
1659064335
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35466 Issued in CA
Practice address
1010 W Fremont Ave
Sunnyvale, CA 94087-3000
Phone
(408) 739-6200
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 35466 CA
Low Vision Rehabilitation Optometrist 152WL0500X 35466 CA
Pediatric Optometrist 152WP0200X 35466 CA
Sports Vision Optometrist 152WS0006X 35466 CA
Vision Therapy Optometrist 152WV0400X 35466 CA
Occupational Vision Optometrist 152WX0102X 35466 CA
Optometrist 152W00000X 35466 CA Primary

Addresses

Primary practice location

1010 W Fremont Ave
Sunnyvale, CA 94087-3000

Mailing address

633 Hidden Lakes Dr
Martinez, CA 94553-5417
Phone (925) 812-6712

Other practice location 1

2369 Ocean Ave Ste 3
San Francisco, CA 94127-2615
Phone (415) 459-2020

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
I20230901001033 CA Practitioner - Optometry 9436512829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson and Mark Optometric CorporationGroup PAC ID 0244607562, 8 clinicians

Practice addresses (Care Compare)

1010 W Fremont Ave
Suite 200
Sunnyvale, CA 94087-3019
Phone 4087396200120

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
79.8
Promoting interoperability
80
Improvement activities
40
Cost
87.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson & Mark Optometric Corporation Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Amplify Physicians of California PC CurrentSince Apr 24, 2025 Accepting new patients
Amplify Physicians of California PC Optometrist CurrentSince Apr 24, 2025 Accepting new patients
Eye Medical Clinic of Fresno, Inc. Current Accepting new patients
Eye Medical Clinic of Fresno, Inc CurrentSince Sep 1, 2023 Accepting new patients
Silicon Valley Eye Physicians Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

1360 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 449-5060

1122 S St
Fresno, CA 93721
Phone (559) 268-1737

1010 W Fremont Ave
Ste 200
Sunnyvale, CA 94087
Phone (408) 739-6200

1010 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-6200

Interoperability endpoints

  • Direct secure messaging: vyoma.shah.p1@direct.californiaeye.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1659064335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 HIDDEN LAKES DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945535417",
            "telephone_number": "925-812-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873000",
            "telephone_number": "408-739-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2369 Ocean Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941272615",
            "country_code": "US",
            "telephone_number": "415-459-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "VYOMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "35466",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "35466",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "35466",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "35466",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "35466",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "35466",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.