Jubin Shah, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009520 Issued in NY

Practice address

3236 Wynbrooke Cir
Louisville, KY 40241-3124

Phone

(502) 345-0445

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 KY

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

State University of New York - State College Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Optometrist
  • Louisville, KY
  • NPI 1700890001
  Medicare reassignment Care Compare group NPD
• 502 Eye Care LLC

  • Clinic/Center
  • Louisville, KY
  • NPI 1174378145
  NPD Authorized official
• Ky Doctors of Optometry, PLLC

  dba Visionworks Drs of Optometry

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1417384207
  NPD (past)
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1598849747

  Optometrist

  NPD (past)
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1689757460

  Optometrist

  NPD (past)
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1982787776

  Optometrist

  NPD (past)
• Tri-State Doctors of

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1275617276

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1841947538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 WYNBROOKE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413124",
            "telephone_number": "502-345-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 WYNBROOKE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413124",
            "telephone_number": "502-345-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JUBIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandresh Shah, MD
• Charmi Shah, BA
• Disha Shah, MD
• Jignesh Jagdish Shah, M.D.
• Jignesh Nitinkumar Shah, M.D.
• Kushani Shah
• Mukul R Shah, M.D.
• Neev Shah
• Parthiv Shah
• Pravin J Shah, M.D.

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.