Diana Shen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009324 Issued in NY

Practice address

60A Mott St
New York, NY 10013-4811

Phone

(646) 321-9255

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bronx Vista Inc.Group PAC ID 3971805151, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bronx Vista Inc

  • Optometrist
  • Bronx, NY
  • NPI 1689044067
  Medicare reassignment Care Compare group NPD
• Vista on 3Rd Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1144878778
  Medicare reassignment NPD
• Dsod Inc.

  • Optometrist
  • New York, NY
  • NPI 1942975644
  NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1972276459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60A MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134811",
            "telephone_number": "646-321-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60A MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134811",
            "telephone_number": "646-321-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "DIANA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dr.shenod@gmail.com",
            "affiliation": "N",
            "address_1": "60A Mott St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100134811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Shen, M.D.
• Carly Shen, AUD
• Chen Shen
• Chunpang Tony Shen, M.D.
• Delia Shen
• Eduardo Shen, PHARM.D.
• Emma Shen
• Harry H Shen, MD
• Hongzi Shen
• Jason Shen, OPT

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.