Individual provider Active NPI

Shireen Zahra Haghshenas, OD

  • Optometrist
  • Saratoga, CA
National Provider Identifier
1700627692
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35715 Issued in CA
Practice address
15500 Quito Rd
Saratoga, CA 95070-6230
Phone
(408) 712-1076
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35715 CA Primary

Addresses

Primary practice location

15500 Quito Rd
Saratoga, CA 95070-6230

Mailing address

15500 Quito Rd
Saratoga, CA 95070-6230
Phone (408) 712-1076

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
I20240828002171 CA Practitioner - Optometry 6608315171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15500 Quito Rd
Saratoga, CA 95070-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Vision Optometry Professional Corporation CurrentSince Jan 12, 2025 Accepting new patients

Locations

460 University Ave
Palo Alto, CA 94301
Phone (408) 712-1076

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1700627692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 QUITO RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706230",
            "telephone_number": "408-712-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 QUITO RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706230",
            "telephone_number": "408-712-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHSHENAS",
        "first_name": "SHIREEN",
        "middle_name": "ZAHRA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.