Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN M JOSEPH
Active Sole ProprietorDR. SHAWN M JOSEPH is a Pediatric Optometrist healthcare provider located in ENCINO, California. NPI 1013457464 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · ENCINO, CA
Registration Details
- NPI Number
- 1013457464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2017 (9.4563703606986 yrs)
- Last Updated
- Jan 2, 2022
- Licenses
-
OPC5324 (FL)33802 (CA)OPT33802 (CA)33802 (CA)33802 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6345 BALBOA BLVD STE 250ENCINO, CA, 913165236Browse CA providers · Browse ZIP 91316
- Phone
- 8183443937
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Sports Vision Optometrist
- Additional Specialty
- Vision Therapy Optometrist
- Additional Specialty
- Vision Therapy Optometrist
- Additional Specialty
- Pediatric Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.