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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JISOO L SHIN, O.D.

Active Sole Proprietor

DR. JISOO L SHIN, O.D. is a Optometrist healthcare provider located in SCARSDALE, New York. NPI 1962527846 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SCARSDALE, NY

Registration Details

NPI Number
1962527846
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2007 (19.409499567757 yrs)
Last Updated
May 5, 2008
Licenses
27OA00549600 (NJ)
27TO00087000 (NJ)
T006053-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
971 CENTRAL PARK AVE
SUITE 5
SCARSDALE, NY, 105833211
Browse NY providers · Browse ZIP 10583
Phone
9147237392
Fax
9147231004
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in SCARSDALE, NY

Name Credential NPI
DR. MICHAEL ROSEN OD 1194705723
DR. JAY ROSEN O.D. 1740260322
WILLIAM FRANCIS OCONNELL O.D. 1366415739
DR. MICHELE M SCHERZ-NUSSENBLATT O.D. 1598835993
RICHARD KEITH HAUSER O.D. 1538227368
DR. MAITHREYI VALLABHAJOSYULA OD 1568741619
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.