JAMES S SHIN OD A PROFESSIONAL (NPI# 1568765352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568765352 |
| Entity Type | Organization |
| Organization Name | JAMES S SHIN OD A PROFESSIONAL |
| Practice Address |
1556 Meridian Ave San Jose CA 95125-5319 |
| Practice Telephone | 4084452020 |
| Practice Fax Number | 4084452712 |
| Mailing Telephone | 4084452020 |
| Mailing Fax Number | 4084452712 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | JAMES S SHIN (OWNER) |
| Authorized Official Telephone | 4084452020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11745T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | SD0117451 | 01 | |
| UPIN | U86248 | 01 |
| Street Address |
1556 MERIDIAN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207889 | Bradford G Murray | Optometrist | 1556 Meridian Ave, San Jose, CA 95125-5319 | 2005-10-05 |
| 1437233772 | Bradford G. Murray, O.d., A Professional Corp. | Optometrist | 1556 Meridian Ave, San Jose, CA 95125-5319 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796998 | Jamie Ann Ngo | Optometrist | 1141 Di Napoli Dr, San Jose, CA 95129-4014 | 2020-07-02 |
| 1104319185 | Hien Anh Nguyen | Optometrist | 1055 E Brokaw Rd Ste 50, San Jose, CA 95131-2318 | 2018-06-13 |
| 1285121723 | Mai-anh Chtn Nguyen, O.d., Inc | Optometrist | 1661 Burdette Dr Ste H, San Jose, CA 95121-1681 | 2018-04-19 |
| 1407367923 | Justina Cho | Optometrist | 2272 Hendy Ln, San Jose, CA 95124-4415 | 2017-10-24 |
| 1326562794 | Melissa Lau | Optometrist | 1183 S De Anza Blvd Ste 50, San Jose, CA 95129-3659 | 2017-07-27 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1508304080 | Anjie Angela Zheng | Optometrist | 2110 Forest Ave Ste B, San Jose, CA 95128-1469 | 2017-02-06 |
| 1427592773 | Yunwei Chang | Optometrist | 3845 Evangelho Cir, San Jose, CA 95148-4374 | 2016-12-06 |
| 1598118325 | Han Duong Optometry, Inc | Optometrist | 630 Blossom Hill Rd Ste 20, San Jose, CA 95123-3056 | 2016-07-17 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| Find all providers in SAN JOSE | ||||
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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.