NICHOLAS SHASHATI OD
NPI 1881892115
Optometrist in Camillus, NY

Active since July 09, 2007PECOS Enrolled
104 KASSON RD, CAMILLUS, NY 13031(315) 487-0327 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2026, Apr 9, 2019 (2 updates tracked since 2019).

About Nicholas Shashati Od NPPES

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

NICHOLAS SHASHATI OD (NPI 1881892115) is an individual optometrist in Camillus, New York, licensed in New York (4469) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pacific University - College Of Optometry (1984).

NPPES Registry Identity

NPI1881892115
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNICHOLAS SHASHATICredential: OD
Location Address104 KASSON RDCamillus, NY 13031-2248
Mailing Address12228 Branicole LnSan Diego, CA 92129-5003
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1984
Enumeration DateJuly 9, 2007
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1881892115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NY · 4469 Licensed in OR · 1728 Licensed in PA · OEG003367 Licensed in AZ · 660 Licensed in ND · 730 Licensed in CA · 8124 Licensed in VA · 0618002615
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.

104 KASSON RD, Camillus, NY 13031

Secondary Practice Locations 2

Location 19625 Black Mountain RdSan Diego, CA 92126-4564 · Phone (858) 831-9322
Location 27007 Friars Rd Ste 667San Diego, CA 92108-1155 · Phone (858) 414-3513

Accepted 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)

Nicholas Shashati Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517359110
PECOS Enrollment IDI20260608002101, I20260611000915, I20260611003324
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 13031 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

Technician/Technologist (Optician)
104 KASSON RD
CAMILLUS, NY 13031
Optometrist
104 KASSON RD
CAMILLUS, NY 13031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881892115, enumerated as an "individual" on July 09, 2007.

The provider is located at 104 KASSON RD CAMILLUS, NY 13031 and the phone number is (315) 487-0327.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.