Gewon Shu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15071 Issued in CA

Practice address

1909 W Malvern Ave
Fullerton, CA 92833-2177

Phone

(714) 992-8020

NPI assigned

Aug 5, 2014

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

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

Western University of Health Sciences College of Dental Med, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Clarifeye Family Optometry

  • Optometrist
  • Anaheim, CA
  • NPI 1871098301
  Medicare reassignment Authorized official
• Hershel B Welton, OD

  • Optometrist
  • Anaheim, CA
  • NPI 1558570515
  NPD
• Jimmy K. Lee, M.D. Inc.

  • Cornea and External Diseases Specialist Physician
  • Irvine, CA
  • NPI 1750143681
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1982013843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 VISIONS DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928336578",
            "telephone_number": "714-262-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W MALVERN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177",
            "telephone_number": "714-992-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "GEWON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley T. Lee DDS Inc
• Jocelyne Regina Shiromoto, M.S.W., L.C.S.W
• Amairani Shirvanian
• Brianne Shishido-Han
• Alissa Shoffner
• Bronislava Shub, L.V.N.
• Gina Lorraine Sickels, M.S.
• Khaliq Siddiq, MD
• Hina Sidhu, M.D.
• Kristen Lynne Sifers, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.