Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael C Shulkin

Individual provider Optometrist · NPI 1790893824

Michael C Shulkin is an Optometry in Santa Rosa, California. Graduated from Illinois College of Optometry at Chicago in 1983, 43 years ago. Practices with Santa Rosa Community Health Centers, a 71-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Trained at
Illinois College of Optometry at Chicago
Licensed in
CA
In the registry since
2006
Specialties on file
6
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Practice location Address checks out

1188 Montgomery Dr
Santa Rosa, CA 95405-4802
Phone: (707) 542-3404
Fax: (707) 542-3404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT7703TPA (CA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence OPT7703TPA (CA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence OPT7703TPA (CA)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence OPT7703TPA (CA)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence OPT7703TPA (CA)
Occupational Vision Optometrist Taxonomy 152WX0102X · Licence OPT7703TPA (CA)

Record details

NPI number1790893824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESJuly 16, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1983 (43 years in practice)
Group practice Santa Rosa Community Health Centers — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa