Active NPI
Richard Jeffrey Shuldiner, O.D.
- Low Vision Rehabilitation Optometrist
- Corona, CA
National Provider Identifier
1891027272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 5203T
- Practice address
- 761 Payette Dr
Corona, CA 92881-8494 - Phone
- (951) 898-2020
- Fax
- (951) 898-2021
- NPI assigned
- Feb 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 5203T | CA | Primary |
Addresses
Primary practice location
761 Payette Dr
Corona, CA 92881-8494
Mailing address
761 Payette Dr
Corona, CA 92881-8494
Phone (951) 898-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5203T | CA | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard J. Shuldiner, OD, Faao, PC | Low Vision Rehabilitation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Corona, CA
- NPI 1255663639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1891027272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 PAYETTE DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928818494",
"telephone_number": "951-898-2020",
"fax_number": "951-898-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 PAYETTE DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928818494",
"telephone_number": "951-898-2020",
"fax_number": "951-898-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULDINER",
"first_name": "RICHARD",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "5203T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.