DR. JACK CHIA SHEA (NPI# 1174530877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174530877 |
| Entity Type | Individual |
| Full Name | DR. JACK CHIA SHEA |
| Credential | OD |
| Practice Address |
2200 Harbor Blvd Ste D130 Costa Mesa CA 92627 |
| Practice Telephone | 9496427882 |
| Practice Fax Number | 9496427792 |
| Mailing Telephone | 9496427882 |
| Mailing Fax Number | 9496427792 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11538TPL | CA | Eye and Vision Services Providers |
| Street Address |
2200 HARBOR BLVD STE D130 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970394 | Brittany Sikes | Behavioral Analyst | 2200 Harbor Blvd, Costa Mesa, CA 92627-2501 | 2015-04-21 |
| 1598150369 | Tiffany Mcdougal | Behavioral Analyst | 2200 Harbor Blvd, Suite C250, Costa Mesa, CA 92627-2501 | 2015-03-30 |
| 1184013732 | Casey Bradford | Behavioral Analyst | 2200 Harbor Blvd, Suite C250, Costa Mesa, CA 92627-2501 | 2015-01-21 |
| 1477865087 | Stacey Gillis Chiropractic Inc | Chiropractor | 2200 Harbor Blvd, Suite B-160, Costa Mesa, CA 92627-2501 | 2010-07-12 |
| 1881832962 | Shea Optometric Corporation | Clinic/Center | 2200 Harbor Blvd, Ste D-130, Costa Mesa, CA 92627-2501 | 2009-01-28 |
| 1346492055 | Isaac Beshay M D Inc. | Family Medicine | 2200 Harbor Blvd, Suite B210, Costa Mesa, CA 92627-2501 | 2008-10-14 |
| 1518164854 | Sharon Pentony Ignat | Nurse Practitioner | 2200 Harbor Blvd, Costa Mesa, CA 92627-2501 | 2007-06-29 |
| 1164514220 | Anthony Hung Cao Dds A Professional Corporation | Dentist | 2200 Harbor Blvd, Ste B230, Costa Mesa, CA 92627 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1639726680 | Sheena Ansarinia | Optometrist | 1545 Adams Ave Ste 100, Costa Mesa, CA 92626-3875 | 2019-08-23 |
| 1467981928 | Laura Le | Optometrist | 1696 Newport Blvd Ste D, Costa Mesa, CA 92627-3787 | 2017-06-08 |
| 1720343478 | Valerie Elaine Lam | Optometrist | 3151 Airway Ave Ste J2, Costa Mesa, CA 92626-4624 | 2012-07-09 |
| 1669751095 | Thai Tran | Optometrist | 1500 Adams Ave Ste 102, Costa Mesa, CA 92626-3864 | 2011-08-16 |
| 1184951345 | Neda Khadem | Optometrist | 1545 Nutmeg Pl, Costa Mesa, CA 92626-2500 | 2009-11-09 |
| 1730346925 | Daniel E Quon | Optometrist | 949 South Coast Drive, Suite 155, Costa Mesa, CA 92626 | 2008-05-16 |
| 1770617763 | Robert S Glass | Optometrist | 1696 Newport Blvd, Ste D, Costa Mesa, CA 92627-3787 | 2007-03-14 |
| 1720132251 | Alissa Sue Wald | Optometrist | 1545 Adams Ave, Suite 100, Costa Mesa, CA 92626-3814 | 2007-01-22 |
| 1417980186 | Daniel E. Quon, O.d. Inc. | Optometrist | 949 S Coast Dr, Suite 155, Costa Mesa, CA 92626-7737 | 2006-07-08 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.