KEVIN CONNOR SHAHNAZI – Optometrist, NPI 1134875487

KEVIN CONNOR SHAHNAZI is a healthcare provider. based in San francisco, California. specializing in OPTOMETRY. They hold a License No. 34956 (CA). The NPI Number for KEVIN CONNOR SHAHNAZI is 1134875487

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CONNOR SHAHNAZI
NPI
1134875487
Phone
(415) 221-4810
Address
4150 Clement St
Enumeration Date
24 February 2022
Last Update Date
1 November 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3108255000
Graduation Year
2021 (5 years ago)
PAC ID
0446634059
Group Practice PAC ID
5597663740
Professional Enrollment ID
I20220831001979
Address ID
CA900950001LO300XXPLAZ301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for KEVIN CONNOR SHAHNAZI

  • 4150 Clement St

    San Francisco, CA 941211563

    Phone: (415) 221-4810

    Type: Location

  • 4150 CLEMENT ST

    SAN FRANCISCO, CA 941211563

    Phone:

    Type: Mailing

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-8707

    Type: Mailing

  • 300 STEIN PLAZA 2ND FLOOR

    LOS ANGELES, CA 900951563

    Phone: (310) 825-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Harrow Eye, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Harrow Eye, LLC$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220831001979IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina213201$0
92014Established patient complete exam of visual system201188$0
99213Established patient office or other outpatient visit, 20-29 minutes154118$0
92004New patient complete exam of visual system140140$0
92133Imaging of optic nerve8180$0
View full utilization report →

Insurance plans in this area (ZIP 94121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597663740View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
-CA
-CA
-CA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

What is the standard ID for KEVIN CONNOR SHAHNAZI in the U.S.?
In the U.S., KEVIN CONNOR SHAHNAZI is identified by NPI 1134875487.
Quick check: is KEVIN CONNOR SHAHNAZI active?
Public NPPES data shows KEVIN CONNOR SHAHNAZI with an active NPI status right now.
What services align with KEVIN CONNOR SHAHNAZI's listing?
KEVIN CONNOR SHAHNAZI's public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN CONNOR SHAHNAZI?
KEVIN CONNOR SHAHNAZI shows a connection to San Francisco, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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