Kimberly J Shih, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12857 Issued in CA

Practice address

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162

Phone

(818) 763-8836

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Old Towne Optometry, Inc.

  • Optometrist
  • Yorba Linda, CA
  • NPI 1154812378
  NPD (past)
• Rowland Optometry

  • Optometrist
  • Rowland Heights, CA
  • NPI 1720429947
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801864798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 CANTERBURY DR APT C203",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306719",
            "telephone_number": "626-111-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055162",
            "telephone_number": "818-763-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CN243Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Shenassa, M.B.A., M.A.
• Rebecca Shergill, OTR/L
• Sherman Bell Medical Group Inc
• Sherri Elkaim, M.S.
• Vivianna Shields
• Won Zoe Shin
• Shining Grace Home Health Inc.
• Sachiyo Shiraki
• Shiraz, Inc.
• Parmida Shirazi

• Optometrist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.