Active NPI
Julie Shin
- Optometrist
- Brooklyn, NY
National Provider Identifier
1801469820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009380
- Practice address
- 208 Flatbush Ave
Brooklyn, NY 11217-2116 - Phone
- (718) 514-6234
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009380 | NY | Primary |
Addresses
Primary practice location
208 Flatbush Ave
Brooklyn, NY 11217-2116
Mailing address
18 Rockingham CT
Germantown, MD 20874-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009380 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Heights Optical Inc | Optometrist | Current | Accepting new patients |
| Astoria Vision Center Inc | Optometrist | Current | Accepting new patients |
| Chinatown Optical Inc. | Past | Accepting new patients |
Locations
3620 Broadway
Astoria, NY 11106
Phone (718) 204-2007
8325 37th Ave
Jackson Hts, NY 11372
Phone (718) 246-2725
Organizations & group practices 3
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.
-
- Optometrist
- Astoria, NY
- NPI 1356544266
-
- Optometrist
- Jackson Heights, NY
- NPI 1881806917
-
- Eyewear Supplier
- New York, NY
- NPI 1023198595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1801469820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ROCKINGHAM CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172116",
"telephone_number": "718-514-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2024-03-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.