MEDICARE: DAVID SHIEH MD

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	207W00000X	Ophthalmology Physician	U3016	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	35.152718	OH

General Provider Information

NPI Number	:	1740741701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SHIEH MD

Provider Business Mailing Address
First Line	:	24075 COMMERCE PARK
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5823
Country	:	US
Telephone Number	:	216-831-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	24075 COMMERCE PARK
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5823
Country	:	US
Telephone Number	:	216-831-5700
Fax Number	:

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

Provider Enumeration Date	:	03/30/2019
Last Update Date	:	07/29/2025

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