Chad Takao Shimazaki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12858T Issued in CA

Practice address

17430 Crenshaw Blvd
Suite B
Torrance, CA 90504-3400

Phone

(310) 532-8900

Fax

(310) 532-4079

NPI assigned

Sep 2, 2005

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 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

Specialty

Optometry

Education

University of California - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Mayeda, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1972597250
  Medicare reassignment
• Erin Akemi Osako, O.D.

  • Optometrist
  • Alhambra, CA
  • NPI 1043261712
  Medicare reassignment
• Krista Wong, OD

  • Optometrist
  • Torrance, CA
  • NPI 1124504204
  Medicare reassignment

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.

• North Torrance Optometry

  • Optometrist
  • Torrance, CA
  • NPI 1851645758
  NPD (past) Authorized official

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1871587972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 CRENSHAW BLVD",
            "address_2": "SUITE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043400",
            "telephone_number": "310-532-8900",
            "fax_number": "310-532-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CRENSHAW BLVD",
            "address_2": "SUITE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043400",
            "telephone_number": "310-532-8900",
            "fax_number": "310-532-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMAZAKI",
        "first_name": "CHAD",
        "middle_name": "TAKAO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12858T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Shilling
• Christine Shim, NP
• John Jaeyoung Shim, M.D.
• Woo Kyung Shim, L. AC.
• Naohiko Shimada, P.T.
• Takao Shimazaki, O.D.
• Duane Hiroshi Shimizu, O.D.
• Harold Shimizu
• Melissa Mariko Shimizu
• Uta S. Shimizu, MD

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.