Jannifer Shin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2560 Issued in NC

Practice address

215 Lauchwood Dr Ste a
Laurinburg, NC 28352-4647

Phone

(910) 276-1993

Fax

(910) 277-7364

NPI assigned

Nov 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 43)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1174170526
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Laurinburg, NC
  • NPI 1942699095
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1164382842
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Highlands Ranch, CO
  • NPI 1528690088
  NPD
• David Wichnoski OD PA

  • Optometrist
  • Mooresville, NC
  • NPI 1548681406
  NPD (past)
• Eye Care Associates OD PA

  • Optometrist
  • Greensboro, NC
  • NPI 1528400223
  NPD (past)
• Myeyedr Optometry of North Carolina

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD (past)
• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • North Charleston, SC
  • NPI 1952333791
  NPD (past)

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1376012534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LAUCHWOOD DR STE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524647",
            "telephone_number": "910-276-1993",
            "fax_number": "910-277-7364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7615 Colony Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282265018",
            "country_code": "US",
            "telephone_number": "704-543-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JANNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-17",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003941",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2560",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Scott, PHYSICIAN ASSISTANT
• Shyanne Scott, OTR/L
• Leslie R Sellers
• Serenity 7 Counseling Services, PLLC
• Whitney Sewell, PA-C
• Talisa Clark Singletary, NP
• John Harrison Slaughter III, DDS
• Sleepmed, Inc.
• John Andre Smid, MD
• Rebecca Joanne Smid, FNP

• Optometrist in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.