Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tina Shafa, OD

Individual provider Optometrist · NPI 1164370052

Tina Shafa, OD is registered under Optometry in San Ramon, California. Qualified in 2024, 2 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2026
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6000 Bollinger Canyon Rd Ste 1104
San Ramon, CA 94583-2305
Phone: (925) 725-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 377 Santana Row Ste 1115, San Jose, CA 95128-2058 — (408) 502-5020
  • 194 Hillsdale Shopping Center, San Mateo, CA 94403-3409 — (650) 341-8080

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 36180 (CA)

Record details

NPI number1164370052
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 18, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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