MEDICARE: DAVID SHIN OPTOMETRY

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	152W00000X	Optometrist	OPT 12779T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376778555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID SHIN OPTOMETRY

Provider Business Mailing Address
First Line	:	8003 ARCHIBALD AVE
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-2892
Country	:	US
Telephone Number	:	909-980-5552
Fax Number	:	909-568-2413

Provider Business Practice Location Address
First Line	:	8003 ARCHIBALD AVE
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-2892
Country	:	US
Telephone Number	:	909-980-5552
Fax Number	:	909-568-2413

Authorized Official
Title or Position	:	OWNER, OD
Name	:	DR. DAVID S SHIN
Credential	:	OD
Telephone Number	:	909-980-5552

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	05/18/2009

Similar Medicare Providers

1932536869 — CRYSTAL VISION OPTOMETRY GROUP
Practice Location Address:

11940 EAST FOOTHILL BLVD , SUITE 103
RANCHO CUCAMONGA, CA
91739-9173

Practice Phone: 909-234-4222
Practice Fax: 909-568-2413

1285832501 — DR. NGHI UYEN DUONG O.D.
Practice Location Address:

5330 CARROLL CANYON RD STE 210
SAN DIEGO, CA
92121-3758

Practice Phone: 858-450-1010
Practice Fax: 858-450-9451

1841561495 — CLEAR FOCUS OPTOMETRY, INC.
Practice Location Address:

635B S RANCHO SANTA FE RD
SAN MARCOS, CA
92078-3973

Practice Phone: 760-744-0767
Practice Fax: 760-744-2892

1194315697 — CHRISTIANAH OLUBUKOLA ADEDURO MSN, FNP-C, PMHNP-BC
Practice Location Address:

550 W RANCHO VISTA BLVD STE D
PALMDALE, CA
93551-3011

Practice Phone: 661-418-2889
Practice Fax: 661-418-2889

1275533432 — ANASTASIOS FOKAS O.D.
Practice Location Address:

2318 31ST ST , SUITE # 220
ASTORIA, NY
11105-2892

Practice Phone: 718-626-3944
Practice Fax: 718-626-4933

1568448140 — DR. DARLENE KRISTINE MATEJKA MCMORRIS O.D.
Practice Location Address:

1478 INDUSTRIAL PARK AVE
REDLANDS, CA
92374-2892

Practice Phone: 909-793-2106
Practice Fax: 909-792-3246

Directions to “DAVID SHIN OPTOMETRY ” 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 © 2007-2026 (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.