Individual provider Active NPI

Sharon Yuyen Shen

  • Optician
  • Rosemead, CA
National Provider Identifier
1790888204
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5479 Issued in CA
Practice address
8150 Garvey Ave
#103
Rosemead, CA 91770-2472
Phone
(626) 573-1755
Fax
(626) 573-2178
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 5479 CA Primary

Addresses

Primary practice location

8150 Garvey Ave
#103
Rosemead, CA 91770-2472

Mailing address

8150 Garvey Ave.
#103
Rosemead, CA 91770-3931
Phone (626) 573-1755

Other identifiers 1

IdentifierTypeStateIssuer
DX005763FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790888204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 GARVEY AVE.",
            "address_2": "#103",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703931",
            "telephone_number": "626-573-1755",
            "fax_number": "626-573-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 GARVEY AVE",
            "address_2": "#103",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702472",
            "telephone_number": "626-573-1755",
            "fax_number": "626-573-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "SHARON",
        "middle_name": "YUYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "5479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX005763F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.