SHAN MA (OD) – Optometrist, NPI 1174175129
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,116 OPTOMETRY in MA
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Provider Addresses for SHAN MA (OD)
1364, Worcester Street, Natick, Middlesex County, Massachusetts, 01701, United States
NATICK, MA 017601514
Phone: (508) 655-8127
Type: Mailing
8230 MIRA MESA BLVD STE B
SAN DIEGO, CA 921262625
Phone: (858) 566-6670
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $515.
Total Amount is formed as General ($515) + Research ($0) + Ownership ($0) = $515.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($223).
Total Amount
$515
General + Research + Ownership
Payments
14
Total payment records
General Amount
$515
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $223 |
| Bausch & Lomb Americas Inc. | $204 |
| Johnson & Johnson Vision Care, Inc. | $62 |
| Tarsus Pharmaceuticals, Inc. | $26 |
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: 2025-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200402001672 | I | Optometry | MA | TBD |
| I20250811003946 | I | Optometry | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 12 | 12 | $0 |
Insurance plans in this area (ZIP 01760)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA |
Reviews
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