Sharon M Theodore, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A91327 Issued in CA

Practice address

300 James Way Ste 150
Pismo Beach, CA 93449-2874

Phone

(805) 876-3050

Fax

(805) 876-3052

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Sharon McCaffery Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, San Francisco School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Retina Associates, LPGroup PAC ID 4284676966, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: stheodore11645@direct.llu.edu
• Direct secure messaging: st@sanieyecenter.direct.eyemdemr.com

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.

• California Retina Associates, LP

  dba California Retina Associates

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1114033404
  Medicare reassignment Care Compare group NPD
• Central Coast Eye, Inc., a Professional Medical Corporation

  dba Central Coast Eye

  • Retina Specialist (Ophthalmology) Physician
  • San Luis Obispo, CA
  • NPI 1992228795
  Medicare reassignment NPD
• Sani Eye Center Inc.

  • Ophthalmology Physician
  • Templeton, CA
  • NPI 1407056591
  Medicare reassignment NPD
• Afsaneh Amini, O.D., a Professional Optometric Corporation

  dba American Eye Optometry

  • Optometrist
  • Escondido, CA
  • NPI 1598581217
  NPD (past)
• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  NPD (past)
• El Centro Regional Medical Center

  dba Calexico Outpatient Center

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1598840258
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• San Luis Obispo Eye Associates, a Medical Group Inc

  • Ophthalmology Physician
  • Templeton, CA
  • NPI 1366409898
  NPD (past)
• Scripps Health

  dba Scripps Memorial Hospital La Jolla

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)
• Southern California Desert Retina Consultants

  dba Inland Retina Consultants

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1659313997
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1831145739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492874",
            "telephone_number": "805-876-3050",
            "fax_number": "805-876-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492874",
            "telephone_number": "805-876-3050",
            "fax_number": "805-876-3052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "689 Tank Farm Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017078",
            "country_code": "US",
            "telephone_number": "805-781-3937",
            "fax_number": "805-781-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A91327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00 A913270",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@centralcoastretina.com",
            "affiliation": "N",
            "address_1": "300 James Way Ste 150",
            "city": "Pismo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934492874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "MCCAFFERY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlie Tam, D.O.
• Christine Louise Tanous
• Bianca Katalina Crystal Taylor
• The San Luis Obispo Hearing Center, Inc
• The Shoe Tree, Inc
• Frederick W. Thom, MD
• Cort Darcy Thompson, PA
• Thrifty Payless Inc (Rite Aid Pharmacy 05833)
• Total Renal Care Inc (Pismo Beach Dialysis)
• Kelly Townsend, MSPT

• Ophthalmology Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.