Amir M Shama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13617 Issued in CA

Practice address

2550 S 25TH E
Idaho Falls, ID 83404-6507

Phone

(208) 552-7323

Fax

(208) 552-7325

NPI assigned

Dec 2, 2008

Sex

Male

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 ID

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

Southern College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amplify Optometry of America PLLCGroup PAC ID 3072050186, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amir.shama.p1@direct.atlantiseyecare.nextgenshare.com

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.

• Amplify Optometry of America PLLC

  • Optometrist
  • Idaho Falls, ID
  • NPI 1336981158
  Medicare reassignment Care Compare group NPD
• Advantage Eye Centers Inc.

  • Ophthalmologic Surgery Clinic/Center
  • Idaho Falls, ID
  • NPI 1568654861

  Optometrist

  Medicare reassignment NPD
• Amplify Optometry of America PLLC

  • Optometrist
  • Hilo, HI
  • NPI 1578301305
  NPD
• High Desert Limb Salvage Institute Podiatrist Corp

  • Podiatric Clinic/Center
  • Apple Valley, CA
  • NPI 1588132062
  NPD

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1851536098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046507",
            "telephone_number": "208-552-7323",
            "fax_number": "208-552-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046507",
            "telephone_number": "208-552-7323",
            "fax_number": "208-552-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMA",
        "first_name": "AMIR",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddie L. Sermon, D.C.
• Amaya Serpa, PHARMD
• James Kenneth Sessions, LCPC
• Edward R Setser, MD
• Lindsay D. Sewell, M.D.
• Elizabeth Ann Sharp-Marsden, APRN-CNP
• Michael Meek Sharp, DMD
• Alison Shaw, BS
• Brenda J Shaw, PA
• Dimitri Shchadenko, FNP

• Optometrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.