DR. ZACHARY SHORE O.D.
NPI 1639542277
Optometrist in San Diego, CA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Zachary Shore O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Zachary Shore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Santa Monica, CA 90401
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Zachary Shore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Shore reassigns Medicare benefits to 2 organizations: Ryan Stybel Od Inc. (West Hollywood, CA) and Dr S Dayyani Od A Prof Corp (Santa Monica, CA). Each 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 Zachary Shore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Shore accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 1 other insurer 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.
# Dr. Zachary Shore, O.D. · NPI 1639542277
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since November 4, 2015.
## Identity
- **NPI:** 1639542277 (Entity type: Individual)
- **Enumerated:** November 4, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 15443 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1947 FERN ST, #3, San Diego, CA 92102-1137
- **Phone:** (619) 233-6183
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ryan Stybel Od Inc. (NPI 1972950830, West Hollywood, CA); Dr S Dayyani Od A Prof Corp (NPI 1205983905, Santa Monica, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 4, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1639542277) · Data from the CMS NPPES public registry.