Organization
JAMES S SHIN OD A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S SHIN OD (OWNER)
(408) 445-2020
Entity
Organization
Contact information
Practice address
1556 MERIDIAN AVE, SAN JOSE, CA 95125-5319
(408) 445-2020
(408) 445-2712
Mailing address
1556 MERIDIAN AVE, SAN JOSE, CA 95125-5319
(408) 445-2020
(408) 445-2712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11745T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0117451
MEDICARE
—
01
—
U86248
UPIN
—
Enumeration date
12/16/2010
Last updated
11/08/2011
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