Yuji P. Shinfuku, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8325T Issued in CA

Practice address

5050 Laguna Blvd Ste 113
Elk Grove, CA 95758-4151

Phone

(916) 684-7070

Fax

(916) 684-8048

NPI assigned

Sep 22, 2006

Last updated

Aug 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103
  NPD
• Third Optometric Care of California

  dba Axis Eye Optometric Group

  • Optometrist
  • Elk Grove, CA
  • NPI 1295309623
  NPD
• Third Optometric Care of California PC

  dba Antelope Mall Vision Center Optometry

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Third Optometric Care of California PC

  dba Laguna Creek Optometry

  • Optometrist
  • Elk Grove, CA
  • NPI 1770161655
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1730289570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 LAGUNA BLVD STE 113",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584151",
            "telephone_number": "916-684-7070",
            "fax_number": "916-684-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 LAGUNA BLVD STE 113",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584151",
            "telephone_number": "916-684-7070",
            "fax_number": "916-684-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINFUKU",
        "first_name": "YUJI",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8325T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shifa
• Shifa Health Center
• Steve Yu-Hung Shih, M.D.
• Hyungseob Shim
• Shine Like Star Room and Board
• Marsha Kazuko Shinozaki, MSW, LCSW
• Lindsey Harumi Shintaku, BA
• Sandra Shoate
• Ana Maria Shoup
• Tiffany Shu, M.D.

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.

Verify at the official NPI Registry.