Individual
DR. Y. VICTOR SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6770 MAYFIELD RD, STE 338, MAYFIELD HTS, OH 44124-2299
(440) 442-4330
(440) 442-4695
Mailing address
6770 MAYFIELD RD, STE 338, MAYFIELD HTS, OH 44124-2299
(440) 442-4330
(440) 442-4695
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-04-6082-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130733
ANTHEM BC/BS
OH
05
—
0528307
—
OH
01
—
0801004
UNITED HEALTHCARE
OH
01
—
102468
KAISER
OH
01
—
112070001
ADMINISTAR FEDERAL
OH
01
—
180016877
RAILROAD MEDICARE
OH
01
—
341345260
AETNA
OH
01
—
34134526000
BUREAU OF WORKERS COMP
OH
01
—
341345260027
CARESOURCE
OH
01
—
922348
EYEMED
OH
Enumeration date
05/23/2005
Last updated
04/24/2024
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