Sana Shakil-Ansari O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SANA SHAKIL-ANSARI O.D. INC

Doing business as

Visionaire Optometry Spa

Practice address

18876 Van Buren Blvd # 204
Riverside, CA 92508-9114

Phone

(909) 913-0005

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sana Shakil-Ansari, DONPI 1740694868

Title

Ceo

Phone

(909) 913-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visionaire Optometry Spa Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sana Shakil-Ansari, O.D

  • Optometrist
  • Riverside, CA
  • NPI 1740694868
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1720787070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18876 VAN BUREN BLVD STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089114",
            "telephone_number": "951-498-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18876 VAN BUREN BLVD # 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089114",
            "telephone_number": "909-913-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA SHAKIL-ANSARI O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "SHAKIL-ANSARI",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-913-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740694868",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionaire Optometry Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visionaire Optometry Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.