Jackline Zaky Shawki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OM0118500 Issued in NJ

Practice address

2128 State Route 35
Holmdel, NJ 07733-2822

Phone

(732) 858-1648

NPI assigned

Jan 31, 2014

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

New England College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Eye Care of NJGroup PAC ID 7719373257, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Eye Care of NJ

  • Optometrist
  • Holmdel, NJ
  • NPI 1063168227
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1841613569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 STATE ROUTE 35",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332822",
            "telephone_number": "732-585-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 STATE ROUTE 35",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332822",
            "telephone_number": "732-858-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWKI",
        "first_name": "JACKLINE",
        "middle_name": "ZAKY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM0118500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asma Shaikh
• Shamra Medical Laboratory Limited Liability Company
• Christana Shamrock-Kmecz, PA
• Shaw Chiropractic, LLC
• Melissa Sue Shaw, D.C.
• Ramsha Sheikh, PA-C
• Sheryl a Roach, PHD, LPC PC
• Kelsey Siegel, LMHC; LPC
• Michael Silverberg, MD
• Egbert Simon, MD

• Optometrist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.