Active NPI
Tammy Chang Shinen, O. D.
- Optometrist
- Placentia, CA
National Provider Identifier
1871618470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11956T
- Practice address
- 1201 N Rose Dr Ste 100
Placentia, CA 92870-3939 - Phone
- (714) 961-5386
- Fax
- (714) 464-4166
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 11956T | CA | Primary |
Addresses
Primary practice location
1201 N Rose Dr Ste 100
Placentia, CA 92870-3939
Mailing address
1201 N Rose Dr Ste 100
Placentia, CA 92870-3939
Phone (714) 528-2566
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 N Rose Dr
Suite 100
Placentia, CA 92870-3939
Phone (714) 528-2566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11956T | CA | MD | Optometrist |
Interoperability endpoints
- tammy.shinen@uprisedirect.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1871618470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N ROSE DR STE 100",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703939",
"telephone_number": "714-528-2566",
"fax_number": "714-993-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N ROSE DR STE 100",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703939",
"telephone_number": "714-961-5386",
"fax_number": "714-464-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINEN",
"first_name": "TAMMY",
"middle_name": "CHANG",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11956T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.