Individual provider Active NPI

Shivani Sharma, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1992200323
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34042TLG Issued in CA
Practice address
38707 Stivers St
Fremont, CA 94536
Phone
(408) 533-5795
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34042TLG CA Primary

Addresses

Primary practice location

38707 Stivers St
Fremont, CA 94536

Mailing address

38707 Stivers St
Fremont, CA 94536-5337
Phone (408) 533-5795

Other practice location 1

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (310) 478-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200316002779 CA Practitioner - Optometry 6709214208 Reassigns benefits to 1 organization
I20251031001779 WA Practitioner - Optometry 6709214208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Bergstrom OD, PLLCGroup PAC ID 0941190417, 11 clinicians

Practice addresses (Care Compare)

20 Boston St
Seattle, WA 98109-2319
Phone (206) 282-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34042TLGCAMDOptometrist
34042CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neda Moshasha OD Inc Optometrist CurrentSince Apr 22, 2021 Accepting new patients
Eric Bergstrom OD, PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
HMB Optometric Group LLC Optometrist PastSince Apr 22, 2021 Accepting new patients

Locations

80 Cabrillo Hwy N
Ste J
Half Moon Bay, CA 94019
Phone (650) 726-3937

6618 Roosevelt Way NE
Seattle, WA 98115
Phone (206) 282-8120

20 Boston St
Seattle, WA 98109
Phone (206) 282-8120

Interoperability endpoints

  • Direct secure messaging: shivani@fre1423.srs-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1992200323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38707 STIVERS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365337",
            "telephone_number": "408-533-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38707 STIVERS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "408-533-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11301 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900731003",
            "country_code": "US",
            "telephone_number": "310-478-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHIVANI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34042TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.