DR. JISOO L SHIN (NPI# 1962527846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962527846 |
| Entity Type | Individual |
| Full Name | DR. JISOO L SHIN |
| Credential | O.D. |
| Practice Address |
971 Central Park Ave Suite 5 Scarsdale NY 10583-3211 |
| Mailing Address |
46 Heath Pl Hastings On Hudson NY 10706-3619 |
| Practice Telephone | 9147237392 |
| Practice Fax Number | 9147231004 |
| Mailing Telephone | 9144791578 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T006053-1 | NY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 27TO00087000 | NJ | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 27OA00549600 | NJ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952698615 | Jisoo Shin | Dentist | 6295 Bissonnet St, Houston, TX 77081-6809 | 2011-07-01 |
| Street Address |
971 CENTRAL PARK AVE SUITE 5 |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982919 | Paul Farber | Technician/Technologist | 971 Central Park Ave, Scarsdale, NY 10583-3211 | 2006-11-24 |
| 1174685457 | Skylight Optical Inc. | Eyewear Supplier (Equipment, not the service) | 971 Central Park Ave, Scarsdale, NY 10583-3211 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1255805891 | Alexa Rose Wernick | Social Worker | 14 Harwood Ct Ste 512514, Scarsdale, NY 10583 | 2019-01-16 |
| 1295205854 | Christiaan Greer | Psychologist | 109 Montgomery Road Suite 203, Scarsdale, NY 10583 | 2018-11-27 |
| 1528537891 | Mobility Pro Pt PC | Physical Therapist | 783 White Plains Rd, Scarsdale, NY 10583 | 2018-11-16 |
| 1255832218 | Rochelle Sanders | Psychologist | 235 Nelson Road, Scarsdale, NY 10583 | 2018-02-26 |
| 1750808408 | Amy L Mittelstadt | Specialist | 9 Sentry Place Tr, Scarsdale, NY 10583 | 2017-08-24 |
| 1356861017 | Amanda Marie Rocco | Pharmacist | 1064 Wilmot Road, Scarsdale, NY 10583 | 2017-06-23 |
| 1609246065 | Safeta Kolenovic | Licensed Practical Nurse | 441 North Central Park Ave., #872, Scarsdale, NY 10583 | 2015-09-29 |
| 1003293168 | Scarsdale Dental Group | Dentist | 14 Harwood Ct., Ste 211, Scarsdale, NY 10583 | 2015-04-28 |
| 1417343484 | Parviz Lalezari | Internal Medicine | One Church Lane, Scarsdale, NY 10583 | 2015-04-07 |
| Find all providers in zip 10583 | ||||
| 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 |
|---|---|---|---|---|
| 1972120327 | Rebecca Stein | Optometrist | 1098 Wilmot Rd, Scarsdale, NY 10583-6863 | 2020-07-01 |
| 1306096169 | Zlatin Optometrist, PC | Optometrist | 1130 Wilmot Rd, Scarsdale, NY 10583 | 2008-09-29 |
| 1538227368 | Richard Keith Hauser | Optometrist | 719 White Plains Post Road, Eastchester Shopping Center, Scarsdale, NY 10583-5009 | 2006-12-05 |
| 1598835993 | Michele M Scherz-nussenblatt | Optometrist | 777 Post Rd, Scarsdale, NY 10583-5000 | 2006-11-09 |
| 1366415739 | William Francis Oconnell | Optometrist | 32 Anpell Dr, Scarsdale, NY 10583-6141 | 2006-02-08 |
| 1194705723 | Michael Rosen | Optometrist | 8 Spencer Pl, Scarsdale, NY 10583-4111 | 2006-01-19 |
| 1770099038 | Cvs Aoc Services, L.L.C. | Optometrist | 983 Central Park Ave, Scarsdale, NY 10583-3211 | 2017-12-22 |
| 1841676293 | Samantha Slotnick, Inc | Optometrist | 495 Central Park Ave Ste 301, Scarsdale, NY 10583-1038 | 2015-08-09 |
| 1568741619 | Maithreyi Vallabhajosyula | Optometrist | 110 Brook St, Scarsdale, NY 10583-5136 | 2011-08-08 |
| 1366759748 | Marchele Optical Inc. | Optometrist | 777 White Plains Rd, Scarsdale, NY 10583-5000 | 2010-09-08 |
| Find all providers in SCARSDALE | ||||
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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.