DR. LYSLE SHAW-MCMINN O.D.
NPI 1720481641
Optometrist in Sun City, CA

Q: What is Lysle Shaw-mcminn's NPI number?

The NPI number for Lysle Shaw-mcminn is 1720481641. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Q: What is Lysle Shaw-mcminn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lysle Shaw-mcminn was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 06, 2014PECOS Enrolled

27830 BRADLEY RD, SUN CITY, CA 92586(951) 672-4971 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lysle Shaw-mcminn O.d. NPPES

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

DR. LYSLE SHAW-MCMINN O.D. (NPI 1720481641) is an individual optometrist in Sun City, California, licensed in California (15133) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720481641

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. LYSLE SHAW-MCMINNCredential: O.D.

Location Address27830 BRADLEY RDSun City, CA 92586-2201

Mailing Address27830 Bradley RdSun City, CA 92586-2201 · (951) 672-4971

Phone(951) 672-4971

Sole ProprietorYes

Enumeration DateOctober 6, 2014

✔ NPI 1720481641 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 · 15133

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.

27830 BRADLEY RD, Sun City, CA 92586

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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 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. Lysle Shaw-mcminn O.d. 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 92586 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 18

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

THANG D NGUYEN MD

Internal Medicine

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 679-2358

SUN CITY OPTOMETRY A PROFESSIONAL CORPORATION

Optometrist

27830 BRADLEY RD
MENIFEE, CA 92586

Riverside County (951) 672-4971

BHOODEV TIWARI MD

Internal Medicine (Cardiovascular Disease)

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 672-3888

STEPHANUS ONG MD INC

Internal Medicine (Cardiovascular Disease)

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 672-3888

TOMMY DINH MD INC

Surgery

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 679-2358

PETER G SHAW- MC MINN O.D.

Optometrist

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 672-4971

SANDY HANNA OD

Optometrist

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 672-4971

T D NGUYEN, MD, INC

Internal Medicine

27830 BRADLEY RD
SUN CITY, CA 92586

Riverside County (951) 679-2358

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 Lysle Shaw-mcminn's NPI number?

The NPI number for Lysle Shaw-mcminn is 1720481641. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Lysle Shaw-mcminn located?

Lysle Shaw-mcminn practices at 27830 Bradley Rd, Sun City, CA 92586. The listed phone number is (951) 672-4971.

What is Lysle Shaw-mcminn's specialty?

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

Is Lysle Shaw-mcminn enrolled in Medicare?

Yes. Lysle Shaw-mcminn is registered in the Medicare PECOS enrollment system.

What insurance does Lysle Shaw-mcminn 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 1 other insurer list Lysle Shaw-mcminn 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 Lysle Shaw-mcminn was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.