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

Vivian Phan Shibayama, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1689954695

Vivian Phan Shibayama, OD is an Optometry in Los Angeles, California. Qualified in 2011, 15 years ago. Practices with Jules Stein Eye Institute Medical Group, a 117-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
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

200 Stein Plz Ste 2-525
Los Angeles, CA 90095-7065
Phone: (310) 825-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence 14290 (CA)

Record details

NPI number1689954695
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 22, 2011
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Jules Stein Eye Institute Medical Group — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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