Active NPI
Shahrzad Shahriary, O.D.
- Optometrist
- Tulare, CA
National Provider Identifier
1841332434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10552T
- Practice address
- 1259 E Prosperity Ave
Tulare, CA 93274-8060 - Phone
- (559) 688-5020
- NPI assigned
- Feb 12, 2007
- Last updated
- May 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10552T | CA | MD | Optometrist |
| 10552 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracey H Nguyen OD - Professional Optometric Corporation | Optometrist | Past | Accepting new patients |
| Dr. Shahrzad Shahriary | Optometrist | Past | 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.
-
- Optometrist
- Kingsburg, CA
- NPI 1699264655
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.