Search › New York › 152W00000X
Nicholas Shashati, OD
NPI 1881892115 · on the registry since 2007 · sole proprietor
Practice
- Address
- 104 Kasson Rd
Camillus, NY 13031 - Phone
- (315) 487-0327
- Organisation at this address
- Emerging Vision Inc
Tj Fancy Enterprises Llc
Downing Katz Optical Company IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 7007 Friars Rd Ste 667, San Diego, CA
- 9625 Black Mountain Rd, San Diego, CA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X
152W00000X
152W00000X
152W00000X
152W00000X - Licence states on file
- OR, PA, AZ, NY, ND, CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York