Dong Eok Shin

Optician · Riverside, CA

Individual Active NPI

NPI number 1164075198

Practice location

4250 Van Buren Blvd
Riverside, CA 92503-2602
Phone
(909) 964-9524

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NPI record

NPI
1164075198
Entity type
Individual (Type 1)
Enumeration date
July 18, 2019
Last updated
January 23, 2023
Certified
January 23, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 70820 CA

Mailing address

23684 Gold Nugget Ave
Diamond Bar, CA 91765-2335
Phone
(213) 500-8292

About Dong Eok Shin

Dong Eok Shin is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 4250 Van Buren Blvd, Riverside, CA 92503-2602. The NPI number 1164075198 was assigned on July 18, 2019 and the record was last updated on January 23, 2023.

Dong Eok Shin lists a license in the registry: #70820 (CA) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dong Eok Shin?

The NPI number is 1164075198.

What is the phone number of Dong Eok Shin?

The phone number listed for the practice location is (909) 964-9524.

Where is Dong Eok Shin located?

4250 Van Buren Blvd, Riverside, CA 92503-2602.

What is the taxonomy code for Dong Eok Shin?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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