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DR. ZACHARY SHORE O.D.
NPI 1639542277
Optometrist in San Diego, CA

Active since November 04, 2015PECOS Enrolled
1947 FERN ST, #3, SAN DIEGO, CA 92102(619) 233-6183 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zachary Shore O.d. NPPES

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

DR. ZACHARY SHORE O.D. (NPI 1639542277) is an individual optometrist in San Diego, California, licensed in California (15443) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639542277
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ZACHARY SHORECredential: O.D.
Location Address1947 FERN ST, #3San Diego, CA 92102-1137
Mailing Address4819 Muir Ave, #8San Diego, CA 92107-2133 · (925) 788-4299
Phone(619) 233-6183
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 4, 2015
✔ NPI 1639542277 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 · 15443
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.
1947 FERN ST, San Diego, CA 92102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Zachary Shore O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345649109
PECOS Enrollment IDI20210527000420
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 92102 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

MARIANNE RAE DECKER O.D.
Optometrist
1947 FERN ST
SAN DIEGO, CA 92102
San Diego County (619) 233-6183
ROBERT JAMES OKAMURA O.D.
Optometrist
1947 FERN ST
SAN DIEGO, CA 92102
San Diego County (619) 233-6183
MICHELLE FITZPATRICK INC
Optometrist
1947 FERN ST, #3
SAN DIEGO, CA 92102
San Diego County (619) 233-6183

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 Zachary Shore's NPI number?

The NPI number for Zachary Shore is 1639542277. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Zachary Shore located?

Zachary Shore practices at 1947 Fern St #3, San Diego, CA 92102. The listed phone number is (619) 233-6183.

What is Zachary Shore's specialty?

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

Is Zachary Shore enrolled in Medicare?

Yes. Zachary Shore is registered in the Medicare PECOS enrollment system.

What insurance does Zachary Shore accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Zachary Shore 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 Zachary Shore was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.