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DR. KUNAL T. SHAH O.D. INC.
NPI 1275802662
Optometrist in Bellflower, CA

Active since December 14, 2011
17139 BELLFLOWER BLVD, # 101, BELLFLOWER, CA 90706(562) 866-2020(562) 920-3336 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kunal T. Shah O.d. Inc. NPPES

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

DR. KUNAL T. SHAH O.D. INC. (NPI 1275802662) is a healthcare organization registered as an optometrist in Bellflower, California and active in the NPI registry since December 2011. The organization lists Kunal T. Shah, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1275802662
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. KUNAL T. SHAH O.D. INC.
Location Address17139 BELLFLOWER BLVD, # 101Bellflower, CA 90706-5943
Mailing Address17139 Bellflower Blvd, # 101Bellflower, CA 90706-5943 · (562) 866-2020 · Fax (562) 920-3336
Phone(562) 866-2020
Fax(562) 920-3336
Organization SubpartNo
Authorized OfficialKunal T. ShahOwner / President · (562) 866-2020
Enumeration DateDecember 14, 2011
Last NPPES UpdateMarch 27, 2012
✔ NPI 1275802662 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 · 12356T
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.
17139 BELLFLOWER BLVD, Bellflower, CA 90706
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Other Identifiers 2

Medicaid1275802662CA
Medicare PINFW044ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kunal T. Shah O.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120316000590Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Kunal T. Shah O.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kunal Shah, O.D.
Optometry
NPI 1528172616
17139 BELLFLOWER BLVD
Bellflower, CA 90706
(562) 866-2020
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr. Kunal T. Shah O.D. Inc.'s NPI number?

The NPI number for Dr. Kunal T. Shah O.D. Inc. is 1275802662. It was assigned to this organization in the NPPES registry on December 14, 2011.

Where is Dr. Kunal T. Shah O.D. Inc. located?

Dr. Kunal T. Shah O.D. Inc. is located at 17139 Bellflower Blvd # 101, Bellflower, CA 90706. The listed phone number is (562) 866-2020.

What is Dr. Kunal T. Shah O.D. Inc.'s specialty?

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

Is Dr. Kunal T. Shah O.D. Inc. enrolled in Medicare?

Yes. Dr. Kunal T. Shah O.D. Inc. is registered in the Medicare PECOS enrollment system.

When is Dr. Kunal T. Shah O.D. Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Kunal T. Shah O.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. Kunal T. Shah O.D. Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Kunal T. Shah O.D. Inc. was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.