KRISTINE SHAHVERDYAN (OD) – Optometrist, NPI 1316786643

KRISTINE SHAHVERDYAN (OD) is a healthcare provider. based in Sunland, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35691 (CA). The NPI Number for KRISTINE SHAHVERDYAN (OD) is 1316786643

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE SHAHVERDYAN (OD)
NPI
1316786643
Phone
Not provided
Address
10832 ORO VISTA AVE
Enumeration Date
24 May 2024
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8054950458
Graduation Year
2024 (2 years ago)
PAC ID
4486199106
Group Practice PAC ID
5698662823
Professional Enrollment ID
I20240717002114
Address ID
CA913601920TH2230XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for KRISTINE SHAHVERDYAN (OD)

  • 10832 ORO VISTA AVE

    SUNLAND, CA 910402433

    Phone:

    Type: Mailing

  • 2230 LYNN RD STE 102

    THOUSAND OAKS, CA 913601920

    Phone: (805) 495-0458

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($118).

Total Amount

$222

General + Research + Ownership

Payments

8

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2024-07-17

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
I20240717002114IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91040)

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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: 5698662823View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P H T H A L M O L O G YCO
O P T O M E T R 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 YPA
O P T O M E T R YNV
O P T O M E T R YCA
Ophthalmology, Plastic And Reconstructive SurgeryCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

How is KRISTINE SHAHVERDYAN (OD) identified in CMS data?
CMS-hosted NPPES data lists KRISTINE SHAHVERDYAN (OD) with NPI 1316786643.
Is KRISTINE SHAHVERDYAN (OD) listed as active for patients and plans?
The listing shows KRISTINE SHAHVERDYAN (OD) as active in the NPI system.
What is KRISTINE SHAHVERDYAN (OD) best known for clinically?
Directory data describes KRISTINE SHAHVERDYAN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does KRISTINE SHAHVERDYAN (OD) list a practice location?
Patients near Sunland, California may find KRISTINE SHAHVERDYAN (OD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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