# CARL K. SHIN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538450440
- **Authorized official:** DR. CARL K SHIN M.D. (PRESIDENT)
- **Authorized official phone:** (440) 354-6900

## Contact information

- **Practice address:** 2141 MENTOR AVE, PAINESVILLE, OH 44077-1323
- **Practice address phone:** (440) 354-6900
- **Practice address fax:** (449) 354-6400
- **Mailing address:** 2141 MENTOR AVE, PAINESVILLE, OH 44077-1323
- **Mailing address phone:** (440) 354-6900
- **Mailing address fax:** (449) 354-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35043576 | OH | Yes |

## Other

- **Enumeration date:** 04/26/2011
- **Last updated:** 04/26/2011