Katherine Y Shen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60242185 Issued in WA

Practice address

14050 Juanita Dr NE Ste a
Kirkland, WA 98034-9708

Phone

(425) 820-2020

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

State University of New York - State College Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD
• Mayemura, Inc.

  • Optometrist
  • Everett, WA
  • NPI 1689857690
  Medicare reassignment NPD
• Specialty Eyecare Group Inc

  • Optometrist
  • Kirkland, WA
  • NPI 1235317637
  Medicare reassignment NPD
• Mayemura Inc.

  • Optometrist
  • Seattle, WA
  • NPI 1932375979
  NPD
• Mayemura, Inc.

  • Optometrist
  • Mountlake Terrace, WA
  • NPI 1093098402
  NPD
• Northwest Vision Consultants

  • Vision Therapy Optometrist
  • Kirkland, WA
  • NPI 1437691425
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1922315282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349708",
            "telephone_number": "206-218-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349708",
            "telephone_number": "425-820-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Auburn Park # 204",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021394178",
            "country_code": "US",
            "telephone_number": "206-218-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEN",
        "first_name": "KATHERINE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4827",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60242185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Sheldon, LMP
• Sy'Naeh Shell
• Justin J Shelley, DPT
• Selena B Shelley, MA,LMHC, CD, LCCE
• Amy Shelton, LMP
• Angela Sheng, MA, CCC-SLP
• Leah Shepard
• Dana Shephard
• Kristen Brewer Sherman
• Tonia Sherman, LMP

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.