Active NPI
Shailka Dawar, O.D
- Optometrist
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 61162929
- Practice address
- 10002 SE 240TH St
Kent, WA 98031-4839 - Phone
- (206) 406-8003
- NPI assigned
- Mar 9, 2017
- Last updated
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00672300 | NJ | |
| Optometrist | 152W00000X | 61162929 | WA | Primary |
| Optometrist | 152W00000X | 34450 | CA |
Addresses
Primary practice location
10002 SE 240TH St
Kent, WA 98031-4839
Mailing address
10002 SE 240TH St
Kent, WA 98031-4839
Phone (206) 406-8003
Other practice location 1
509 Stillwells Corner Rd Ste E5
Freehold, NJ 07728
Phone (732) 431-9333
Other practice location 2
15923 Bear Valley Rd Ste B100
Hesperia, CA 92345-1762
Phone (760) 949-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00672300 | NJ | MD | Optometrist |
| 61162929 | WA | MD | Optometrist |
| 34450 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis S Lim and Associates OD PS | Optometrist | Current | Accepting new patients |
| Vision Express Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Michael H Chow & Associates PLLC | Optometrist | Past | Accepting new patients |
| Kirkland Vision Center, LLC | Optometrist | Past | Accepting new patients |
Locations
15923 Bear Valley Rd
Ste B100
Hesperia, CA 92345
Phone (760) 949-6363
10024 SE 240th St
Ste 220
Kent, WA 98031
Phone (253) 852-5440
Interoperability endpoints
- https://icareopticalofkent.ef.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 4
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.
-
- Optometrist
- Kent, WA
- NPI 1851588750
-
- Optometrist
- Hesperia, CA
- NPI 1922253509
-
- Optometrist
- Kirkland, WA
- NPI 1578999215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1700327871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10002 SE 240TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980314839",
"telephone_number": "206-406-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10002 SE 240TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980314839",
"telephone_number": "206-406-8003"
}
],
"practiceLocations": [
{
"address_1": "509 Stillwells Corner Rd Ste E5",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "07728",
"country_code": "US",
"telephone_number": "732-431-9333",
"fax_number": "732-431-3312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15923 Bear Valley Rd Ste B100",
"address_purpose": "LOCATION",
"city": "Hesperia",
"state": "CA",
"postal_code": "923451762",
"country_code": "US",
"telephone_number": "760-949-6363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWAR",
"first_name": "SHAILKA",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00672300",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "61162929",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.