DR. DAVID SUNG SHIN (NPI# 1245372200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245372200 |
| Entity Type | Individual |
| Full Name | DR. DAVID SUNG SHIN |
| Credential | O.D. |
| Practice Address |
15923 Bear Valley Rd Ste B100 Hesperia CA 92345-1762 |
| Practice Telephone | 9099805552 |
| Mailing Telephone | 9092006479 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 12779T | CA | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
12779T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0127790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1710241831 | David Shin | Optometrist | 4949 Borgen Blvd Nw Ste 107, Gig Harbor, WA 98332-7895 | 2012-07-03 |
| 1528343019 | David Hawk Shin | Pharmacist | 60 Watson Dr, Mount Laurel, NJ 08054 | 2011-10-15 |
| 1831163252 | David H Shin | Internal Medicine | 1621 Union Ave Ste C, Natrona Heights, PA 15065-2144 | 2006-02-14 |
| 1952385973 | David J Shin | Internal Medicine | 106 Physicians Park Drive, Rockingham, NC 28376-7998 | 2005-12-02 |
| 1083614135 | David Dongryun Shin | Surgery | 7501 Fannin St Suite 703, Houston, TX 77054 | 2005-07-29 |
| 1851395115 | David Joseph Shin | Family Medicine | 14811 Saint Marys Ln, Ste 168, Houston, TX 77079-2916 | 2005-06-02 |
| 1225523293 | David Shin | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198 | 2018-06-22 |
| 1194139253 | David Shin | Family Medicine | 455 Oconnor Dr, Suite 250, San Jose, CA 95128 | 2014-06-17 |
| Street Address |
15923 BEAR VALLEY RD STE B100 |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649346628 | Yuh-shin Maria Chen | Acupuncturist | 15923 Bear Valley Rd, Suite A210, Hesperia, CA 92345-1750 | 2006-11-28 |
| 1912255472 | Bc Health Center | Acupuncturist | 15923 Bear Valley Rd, Suite A210, Hesperia, CA 92345-1750 | 2012-08-15 |
| 1629370150 | Jacqueline Hill | Spec/Tech, Cardiovascular | 15923 Bear Valley Rd, #a130 Pmb#160, Hesperia, CA 92345-1750 | 2010-12-05 |
| 1194956821 | Tesla Supply Company | Durable Medical Equipment & Medical Supplies | 15923 Bear Valley Rd, D 270, Hesperia, CA 92345 | 2009-07-29 |
| 1922253509 | Vision Express Optometry, Inc. | Optometrist | 15923 Bear Valley Rd, Suite B-100, Hesperia, CA 92345-1750 | 2008-11-24 |
| 1578605077 | Sheila M Bartlett | Optometrist | 15923 Bear Valley Rd, Suite B-100, Hesperia, CA 92345-1750 | 2007-02-12 |
| 1780751206 | Franklin Bradford Inouye | Optometrist | 15923 Bear Valley Rd, Suite B-100, Hesperia, CA 92345-1750 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
| 1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
| 1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
| 1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
| 1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
| 1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
| 1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
| 1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.