Ona Mae Reiko Shiroyama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6802T Issued in CA

Practice address

1280 S Victoria Ave
Suite 100
Ventura, CA 93003-6555

Phone

(805) 650-9922

Fax

(805) 650-6656

NPI assigned

Jun 14, 2006

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Illinois College of Optometry at Chicago, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ventura Optometric Vision Care Inc.Group PAC ID 8820045636, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ventura Optometric Vision Care Inc.

  • Optometrist
  • Ventura, CA
  • NPI 1619935103
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1932142841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036555",
            "telephone_number": "805-650-9922",
            "fax_number": "805-650-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036555",
            "telephone_number": "805-650-9922",
            "fax_number": "805-650-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIROYAMA",
        "first_name": "ONA MAE",
        "middle_name": "REIKO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6802T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0068020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Buddy Shima, PHARM.D.
• Kevin Seung Joon Shin
• Michelle Shires, LMFT
• Julie Marie Shirk, R.N.F.A
• Yelena Shirotova, RBT
• Elmira Mira Shishim, PA
• Dmitriy Shmaryan, D.O.
• Laura Lynn Shore, MSW LCSW
• Carrie Lee Short, CATC I
• Alan Shteyman, MD

• Optometrist in Ventura, CA
• Providers in Ventura, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.