Individual provider Active NPI

Shinichi Sean Hamashige, OD

  • Optometrist
  • Santa Fe, NM
National Provider Identifier
1720279029
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2385 Issued in NM
Practice address
9 Calle Medico
Santa Fe, NM 87505-4724
Phone
(505) 983-2592
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2385 NM Primary

Addresses

Primary practice location

9 Calle Medico
Santa Fe, NM 87505-4724

Mailing address

9 Calle Medico
Santa Fe, NM 87505-4724
Phone (505) 983-2592

Other identifiers 1

IdentifierTypeStateIssuer
P0076MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20121009000380 NM Practitioner - Optometry 7416106356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accent on Vision, Santa Fe LLCGroup PAC ID 3476534686, 4 clinicians

Practice addresses (Care Compare)

1645 Galisteo St
Santa Fe, NM 87505-4749
Phone (505) 984-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2385NMMDOptometrist
2385NMMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accent on Vision, Santa Fe LLC Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Pure Life NM Inc PastSince Dec 13, 2020 Accepting new patients

Locations

1645 Galisteo St
Santa Fe, NM 87505
Phone (505) 984-0694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23184/brand/1/csg/1/fhir/r4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1720279029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-983-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-983-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMASHIGE",
        "first_name": "SHINICHI",
        "middle_name": "SEAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0076",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.