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DR. JACK CHIA SHEA OD
NPI 1174530877
Optometrist in Costa Mesa, CA

Active since August 02, 2006PECOS Enrolled
2200 HARBOR BLVD, STE D130, COSTA MESA, CA 92627(949) 642-7882(949) 642-7792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Chia Shea Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK CHIA SHEA OD (NPI 1174530877) is an individual optometrist in Costa Mesa, California, licensed in California (11538TPL) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174530877
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACK CHIA SHEACredential: OD
Location Address2200 HARBOR BLVD, STE D130Costa Mesa, CA 92627
Mailing Address2200 Harbor Blvd, Ste D130Costa Mesa, CA 92627 · (949) 642-7882 · Fax (949) 642-7792
Phone(949) 642-7882
Fax(949) 642-7792
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174530877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 11538TPL
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.
2200 HARBOR BLVD, Costa Mesa, CA 92627
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Other Identifiers 3

Medicare ID-Type UnspecifiedW0P11538ACA
Medicare ID-Type UnspecifiedSD0115380CA
Medicare UPINU88369

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Chia Shea Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY HUNG CAO DDS A PROFESSIONAL CORPORATION
Clinic/Center (Dental)
2200 HARBOR BLVD, STE B230
COSTA MESA, CA 92627
Orange County (949) 646-1650
ISAAC BESHAY M D INC.
Family Medicine
2200 HARBOR BLVD, SUITE B210
COSTA MESA, CA 92627
Orange County (949) 548-2273
STACEY GILLIS CHIROPRACTIC INC
Chiropractor
2200 HARBOR BLVD, SUITE B-160
COSTA MESA, CA 92627
Orange County (949) 515-5170
MRS. SHARON PENTONY IGNAT FNP
Nurse Practitioner (Family)
2200 HARBOR BLVD
COSTA MESA, CA 92627
Orange County (949) 548-2273
SHEA OPTOMETRIC CORPORATION
Clinic/Center (Medical Specialty)
2200 HARBOR BLVD, STE D-130
COSTA MESA, CA 92627
Orange County (949) 642-7882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Shea's NPI number?

The NPI number for Jack Shea is 1174530877. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jack Shea located?

Jack Shea practices at 2200 Harbor Blvd Ste D130, Costa Mesa, CA 92627. The listed phone number is (949) 642-7882.

What is Jack Shea's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jack Shea enrolled in Medicare?

Yes. Jack Shea is registered in the Medicare PECOS enrollment system.

What insurance does Jack Shea accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jack Shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Shea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.