Individual
DR. SIMAAN SHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1796 GRAHAM RD, COLLEGE STATION, TX 77845-9610
(979) 694-2000
(979) 694-2010
Mailing address
3525 LONGMIRE DR STE K, COLLEGE STATION, TX 77845-5281
(979) 694-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6652TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
6652 TG
TX
152WP0200X
Pediatric Optometrist
6652 TG
TX
152WS0006X
Sports Vision Optometrist
6652 TG
TX
152WX0102X
Occupational Vision Optometrist
6652 TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6652 TG
LICENSE
TX
01
—
81343Q
BCBS ID
TX
Enumeration date
08/17/2006
Last updated
03/07/2023
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