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Active NPI 1174530877 Individual Practitioner Male Practitioner

Dr. Jack Chia Shea , OD

Optometrist • Costa Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Shea, OD is a registered healthcare professional specializing in Optometrist in Costa Mesa, CA. Practice services are available at 2200 HARBOR BLVD under active NPI credentials.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Harbor Blvd
Ste D130

Costa Mesa, CA 92627

Telephone 9496427882
Fax 9496427792
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Costa Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Costa Mesa, CA (8588 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
14 14 $177.64 $167.93

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 11538TPL

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sharon Ignat , FNP

Nurse Practitioner - Family

NPI 1518164854

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2200 HARBOR BLVD, STE D130, COSTA MESA, CA 92627 (Tel: 9496427882)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2200 HARBOR BLVD, STE D130, COSTA MESA, CA 92627 (Tel: 9496427882)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK SHEA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #11538TPL in CA)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174530877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2200 Harbor Blvd, Ste D130

Costa Mesa, CA 92627

Phone: 9496427882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.