Organization Active NPI

Bryant Shin, MD PC

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1043401904
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
225028 Issued in NY
Legal business name
BRYANT SHIN, MD PC
Practice address
973 East Ave
Rochester, NY 14607-2216
Phone
(585) 442-1515
Fax
(585) 442-8376
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryant J Shin, MDNPI 1104851237
Title
MD President
Phone
(585) 442-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 225028 NY Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 119749 NY

Addresses

Primary practice location

973 East Ave
Rochester, NY 14607-2216

Mailing address

973 East Ave Ste 200
Rochester, NY 14607-2216
Phone (585) 442-1515

National Provider Directory

National Provider Directory

Locations

973 East Ave
Ste 201
Rochester, NY 14607
Phone (716) 442-1515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1043401904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 EAST AVE STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072216",
            "telephone_number": "585-442-1515",
            "fax_number": "585-442-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072216",
            "telephone_number": "585-442-1515",
            "fax_number": "585-442-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT SHIN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "585-442-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "225028",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "119749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.