Shea Optometric Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

11538TPL Issued in CA

Legal business name

SHEA OPTOMETRIC CORPORATION

Practice address

2200 Harbor Blvd
Ste D-130
Costa Mesa, CA 92627-2501

Phone

(949) 642-7882

Fax

(949) 642-7792

NPI assigned

Jan 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack C. Shea, O.D.

Title

President

Phone

(949) 642-7882

Specialties & licenses 2

Addresses

Other names 1

• Nuview Optometric Center Doing business as

Locations

Practitioners 1

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

• Kaitlyn Nguyen Murch, O.D

  • Optometrist
  • Norco, CA
  • NPI 1346616760
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1881832962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD",
            "address_2": "STE D-130",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272501",
            "telephone_number": "949-642-7882",
            "fax_number": "949-642-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD",
            "address_2": "STE D-130",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272501",
            "telephone_number": "949-642-7882",
            "fax_number": "949-642-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-642-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "11538TPL",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "11538TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuview Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Share Our Selves Corporation
• Share Our Selves Corporation
• Share Our Selves Corporation
• Elham Sharif, MSPO, CPO, CPED
• Pravin Shaw, D.O.
• Jack Chia Shea, OD
• Deshna Shekar
• Taylor Shelton
• Sue Shepard, MFT
• Corey Andrew Shepherd Tsabetsaye

• Medical Specialty Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.