MEDICARE: EUN SEON SHIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-487347	NC

General Provider Information

NPI Number	:	1013871904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUN SEON SHIM

Provider Business Mailing Address
First Line	:	901 MATTERHORN DR
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-4185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 MATTERHORN DR
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-4185
Country	:	US
Telephone Number	:	714-476-1139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

Similar Medicare Providers

1598363780 — PHOENIX PARTNERS NC
Practice Location Address:

7621 PURFOY RD STE 210
FUQUAY VARINA, NC
27526-6985

Practice Phone: 833-749-4584
Practice Fax: 919-205-9919

1205523131 — DR. LANA SAMPSON MS, PH.D.
Practice Location Address:

7621 PURFOY RD STE 210
FUQUAY VARINA, NC
27526-6985

Practice Phone: 919-637-6867
Practice Fax: 919-205-9919

1669283388 — ASHLEY MILLER LCMHCA
Practice Location Address:

7621 PURFOY RD STE 210
FUQUAY VARINA, NC
27526-6985

Practice Phone: 607-422-4770
Practice Fax: 919-205-9915

1568327765 — FAMILY OPTICAL LLC
Practice Location Address:

209 S FUQUAY AVE STE 120
FUQUAY VARINA, NC
27526-2254

Practice Phone: 919-567-0059
Practice Fax: 919-567-0079

1679436505 — LATRICIA LERMA
Practice Location Address:

2130 MARQUEE LN
FUQUAY VARINA, NC
27526-3207

Practice Phone: 919-753-4837
Practice Fax:

1396613279 — AUBREE STRICKLAND
Practice Location Address:

1441 E BROAD ST # 90
FUQUAY VARINA, NC
27526-1968

Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

Directions to “ EUN SEON SHIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.