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MS. SHELLY A FUKUNAGA O.D.
NPI 1710002498
Optometrist in Torrance, CA

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
2130 REDONDO BEACH BLVD., SUITE G, TORRANCE, CA 90504(310) 538-9797(310) 538-1725 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2018, Nov 29, 2018, Oct 17, 2018 (3 updates tracked since 2018).

About Ms. Shelly A Fukunaga O.d. NPPES

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

MS. SHELLY A FUKUNAGA O.D. (NPI 1710002498) is an individual optometrist in Torrance, California, licensed in California (10849T) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1997).

NPPES Registry Identity

NPI1710002498
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMS. SHELLY A FUKUNAGACredential: O.D.
Location Address2130 REDONDO BEACH BLVD., SUITE GTorrance, CA 90504
Mailing Address2130 Redondo Beach Blvd., Suite GTorrance, CA 90504 · (310) 538-9797 · Fax (310) 538-1725
Phone(310) 538-9797
Fax(310) 538-1725
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 1997
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 5, 20183 updates tracked since enumeration
✔ NPI 1710002498 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 · 10849T
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.
2130 REDONDO BEACH BLVD., Torrance, CA 90504
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Other Identifiers 1

Other10849TCA · State License Number

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 and accepts Medicare assignment

Ms. Shelly A Fukunaga O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830356781
PECOS Enrollment IDI20120203000241
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 90504 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.

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 Shelly Fukunaga's NPI number?

The NPI number for Shelly Fukunaga is 1710002498. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Shelly Fukunaga located?

Shelly Fukunaga practices at 2130 Redondo Beach Blvd. Suite G, Torrance, CA 90504. The listed phone number is (310) 538-9797.

What is Shelly Fukunaga's specialty?

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

Is Shelly Fukunaga enrolled in Medicare?

Yes. Shelly Fukunaga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelly Fukunaga 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 Shelly Fukunaga 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 Shelly Fukunaga was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.