Chun-Chieh Jack Shih, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13565 Issued in CA

Practice address

1679 S Azusa Ave
Hacienda Heights, CA 91745-3832

Phone

(626) 810-0858

Fax

(626) 810-1308

NPI assigned

Jul 29, 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 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

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Jack Shih OD a Professional Corporation

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1093970444
  Medicare reassignment NPD Authorized official
• Jack Shih OD a Professional Corporation

  • Optometrist
  • Whittier, CA
  • NPI 1114338324
  NPD Authorized official

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1881850808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 LEFFINGWELL RD STE 7",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033170",
            "telephone_number": "562-947-6789",
            "fax_number": "562-947-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-810-0858",
            "fax_number": "626-810-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "CHUN-CHIEH",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Yu
• Victor Sheaffer
• Jimmy Yue Ming Shern, DMD
• Shetty Dental Corporation
• Swati Shetty, DDS
• Shin-Fu Hsu MD a PC
• Ali Shmara, DMD
• Jennifer Wayne Siu, OTR/L
• SJ Nutrition Inc.
• Jaelyn Nicole Smith

• Optometrist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.