Organization
DAVID SHIN OPTOMETRY
Active
Other names
Crystal Vision Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S SHIN OD (OWNER, OD)
(909) 980-5552
Entity
Organization
Contact information
Practice address
8003 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-2892
(909) 980-5552
(909) 568-2413
Mailing address
8003 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-2892
(909) 980-5552
(909) 568-2413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12779T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0127790
—
CA
Enumeration date
05/18/2009
Last updated
05/18/2009
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