NICHOLAS SHASHATI


Address: 7007 Friars Rd Ste 667, San Diego, CA 92108-1155
Phone: 8584143513

NICHOLAS SHASHATI (NPI# 1881892115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881892115
Entity Type Individual
Full Name NICHOLAS SHASHATI
Credential OD
Practice Address 7007 Friars Rd Ste 667
San Diego
CA 92108-1155
Mailing Address 12228 Branicole Ln
San Diego
CA 92129-5003
Practice Telephone 8584143513
Enumeration Date 2007-07-09
Last Update Date 2019-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 1728 OR Eye and Vision Services Providers
N 152W00000X Optometrist 4469 NY Eye and Vision Services Providers
N 152W00000X Optometrist 660 AZ Eye and Vision Services Providers
Y 152W00000X Optometrist 8124 CA Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9625 Black Mountain Rd, San Diego, CA 921264564 8588319322

Office Location

Street Address 7007 FRIARS RD STE 667
City SAN DIEGO
State CA
Zip Code 92108-1155

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902801 Keri Castaneda Behavior Technician 025 Camino Del Rio South Suite 101, San Diego, CA 92108 2020-11-06
1457963738 Diyana Giorgees Case Manager/Care Coordinator 5005 Texas Street, St. 203, San Diego, CA 92108 2020-08-19
1780211896 Lori Mildred Jerman Marriage & Family Therapist Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 2020-03-26
1285260737 Demetrius Anderson Counselor Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 2020-03-17
1033742465 Dasc Medical Inc Durable Medical Equipment & Medical Supplies 5520 Gill Village Way, 907, San Diego, CA 92108 2020-02-13
1508401092 Chanda Denee Kizer Marriage & Family Therapist 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 2019-11-08
1225695562 Jenna Rose Shurer Nurse Practitioner 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 2019-05-22
1952967812 Martha Kebede Mekonen Chiropractor 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 2019-05-16
1053886135 Andrea Jiselly Munoz Behavior Technician 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 2018-10-04
1386128916 Sarah Elisabeth Smith Counselor 7575 Metropolitan Dr., San Diego, CA 92108 2018-09-19
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720699432 Emily Thai Optometrist 10994 W Ocean Air Dr Apt 286, San Diego, CA 92130-4635 2020-08-14
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1427673680 Courtney Lynn Cape Optometrist 4353 La Jolla Village Dr Ste H-20, San Diego, CA 92122-1242 2020-06-13
1073137691 Charles Tu Optometrist 2150 Pacific Beach Dr Apt 234, San Diego, CA 92109-5639 2020-05-29
1538796578 Wilson Phu Optometrist 3345 Rosecrans St Ste B, San Diego, CA 92110-4225 2020-03-26
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1235786633 Courtney Hongo Optometrist San Diego Va 3350 La Jolla Village Dr #1125, San Diego, CA 92161-0001 2019-08-20
1467012740 Luis G. Perez-rivera Od Optometric Corporation Optometrist 11134 Rancho Carmel Dr Ste 102, San Diego, CA 92128-4671 2019-06-18
1063972438 Fabian Luna Od, Inc Optometrist 9855 Erma Rd Ste 130, San Diego, CA 92131-1092 2019-03-22
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Competitor

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City SAN DIEGO
Zip Code 92108

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Dataset Information

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.

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