Jiyen Shin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9727 Issued in CA

Practice address

140 W Valley Blvd
#115
San Gabriel, CA 91776-3760

Phone

(626) 288-8023

Fax

(626) 288-8326

NPI assigned

Jun 30, 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 3

Medicare fee-for-service enrollment

Enrolled in CA

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Vision PCGroup PAC ID 9234472242, 115 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.

• Golden San Gabriel Optometric Vision Center

  • Optometrist
  • San Gabriel, CA
  • NPI 1740216936
  Medicare reassignment NPD Authorized official
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• Dr. Dennis W. Leung O.D.

  • Optometrist
  • Irvine, CA
  • NPI 1326609041
  NPD (past)
• Marina Eyecare Center

  • Optometrist
  • Los Angeles, CA
  • NPI 1407917701
  NPD (past)
• Optometric Alliance Inc

  • Optometrist
  • San Marino, CA
  • NPI 1033517008
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1760411169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "#115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "#115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JIYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB237190",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0097270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB237189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Shiang Yuan Shen, L.AC.
• Yen Yi Shen, AGACNP-BC
• Sheng H. Chang, M.D., Inc.
• Shi-Lin Niu D M D Inc
• Etema Shilyansky, M.D.
• Lum Bongwi Shu Lentina
• Tony K Shum, M.D.
• Han Sin Shyr
• Mary Judy Lo Sia Su, D.M.D.
• Matthew Sickler, COTA

• Optometrist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.