Wae Y. Shin, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

27OA00520700 Issued in NJ

Practice address

158 Market St
Paterson, NJ 07505-1702

Phone

(973) 684-1545

Fax

(973) 345-6120

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.81 of 100Reported as group

Quality

83.97

Promoting interoperability

100

Improvement activities

40

Cost

82.06

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drshin@njeyeandear.direct.eyemdemr.com

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.

• NJ Eye and Ear LLC

  • Ophthalmology Physician
  • Englewood, NJ
  • NPI 1356860811
  Medicare reassignment Care Compare group NPD
• Dr Van Vinciguerra Optometry, P.C.

  • Optometrist
  • Cliffside Park, NJ
  • NPI 1255008512
  Medicare reassignment NPD
• Clifton Eye Care LLC

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1699838672
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1396718532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051702",
            "telephone_number": "973-684-1545",
            "fax_number": "973-345-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051702",
            "telephone_number": "973-684-1545",
            "fax_number": "973-345-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "WAE",
        "middle_name": "Y.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00520700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5257905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Sherman, DDS
• Lakpa Sherpa
• Nimmi Sherpa
• Elvira Sheykhametova
• Aiman K Shilad, M.D.
• Yong H. Shin, M.D.
• Shirdi Baba Pharmacy Corp (steigner pharmacy)
• Oluwaseun Shobitan, MD
• Shree Bhavini Pharmacy Inc (Sussman's Drugs)
• Noma Shri, MD

• Corneal and Contact Management Optometrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Corneal and Contact Management Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.