Individual provider Active NPI

Borwen Newman Shiue, O.D.

  • Optometrist
  • Rolling Hills Estates, CA
National Provider Identifier
1831354224
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13577 Issued in CA
Practice address
727 Silver Spur Rd Ste 105
Rolling Hills Estates, CA 90274-3684
Phone
(310) 541-3779
Fax
(310) 541-0274
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13577 CA Primary

Addresses

Primary practice location

727 Silver Spur Rd Ste 105
Rolling Hills Estates, CA 90274-3684

Mailing address

727 Silver Spur Rd Ste 105
Rolling Hills Estates, CA 90274-3684
Phone (310) 541-3779

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000648 CA Practitioner - Optometry 3577748961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

727 Silver Spur Rd
Suite 105
Rolling Hills Estates, CA 90274-3684
Phone (310) 541-3779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13577CAMDAcupuncturist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1831354224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 SILVER SPUR RD STE 105",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743684",
            "telephone_number": "310-541-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SILVER SPUR RD STE 105",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743684",
            "telephone_number": "310-541-3779",
            "fax_number": "310-541-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIUE",
        "first_name": "BORWEN",
        "middle_name": "NEWMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.