David Shin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60293265 Issued in WA

Practice address

4949 Borgen Blvd NW Ste 107
Gig Harbor, WA 98332-7895

Phone

(253) 313-5652

NPI assigned

Jul 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Southern California College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gig Harbor Eye PLLCGroup PAC ID 7517227788, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gig Harbor Eye PLLC

  • Optometrist
  • Gig Harbor, WA
  • NPI 1164947776
  Medicare reassignment Care Compare group NPD Authorized official
• Eyestyles LLC

  • Eyewear Supplier
  • Portland, OR
  • NPI 1972835882
  NPD

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1710241831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BORGEN BLVD NW STE 107",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327895",
            "telephone_number": "253-313-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BORGEN BLVD NW STE 107",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327895",
            "telephone_number": "253-313-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60293265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Sheehan, CNM
• Megan Sherman, PHARMD
• Robert Pierce Sherman IV
• Xiaoyue Shi, DDS
• Rachael Shilley
• Shinn Kids Dental LLC
• John Leslie Shobe, LMFT
• Alison Shoop, RN
• Devin Michael Shoquist, M.D.
• Gail K Shuler, M.D.

• Optometrist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.