Individual provider Active NPI

Shahrzad Shahriary, O.D.

  • Optometrist
  • Tulare, CA
National Provider Identifier
1841332434
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10552T Issued in CA
Practice address
1259 E Prosperity Ave
Tulare, CA 93274-8060
Phone
(559) 688-5020
NPI assigned
Feb 12, 2007
Last updated
May 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10552T CA Primary

Addresses

Primary practice location

1259 E Prosperity Ave
Tulare, CA 93274-8060

Mailing address

1259 E Prosperity Ave
Infinity Vision Optometry
Tulare, CA 93274-8060
Phone (559) 688-5020

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
I20071113000773 CA Practitioner - Optometry 8224126917 Practice locations: Tulare, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1259 E Prosperity Ave
Tulare, CA 93274-8060
Phone (559) 688-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10552TCAMDOptometrist
10552CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey H Nguyen OD - Professional Optometric Corporation Optometrist Past Accepting new patients
Dr. Shahrzad Shahriary Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1841332434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 E PROSPERITY AVE",
            "address_2": "INFINITY VISION OPTOMETRY",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932748060",
            "telephone_number": "559-688-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 E PROSPERITY AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932748060",
            "telephone_number": "559-688-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRIARY",
        "first_name": "SHAHRZAD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10552T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.