Soo Young Shin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101226980 Issued in VA

Practice address

19441 Golf Vista Plaza
Suite 320
Lansdowne, VA 20176

Phone

(703) 858-9800

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Soo Young Shin Professional name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

George Washington University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Eye Center PCGroup PAC ID 5092760280, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.38 of 100Reported as group

Quality

100

Promoting interoperability

88

Improvement activities

40

Cost

74.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Virginia Eye Center P.C.

  • Ophthalmology Physician
  • Lansdowne, VA
  • NPI 1841251402

  DC

  Medicare reassignment Care Compare group NPD
• Virginia Eye Center, PC

  • Ophthalmology Physician
  • Lansdowne, VA
  • NPI 1609204163
  NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1952362600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 320",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-858-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 320",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-858-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SOO YOUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101226980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006303633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOO",
            "last_name": "SHIN",
            "middle_name": "YOUNG",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kate Sciorra, O.D.
• Semler Dermatology, Inc
• Douglas Carey Semler, MD
• Lorena Sepsakos, M.D
• Cherylynn Page Shiley, M.S., OTR/L
• Shaz Siddiqi, M.D.
• Andrew Benedict Silva, MD
• Remil Simon, MD
• Karnail Singh, MD
• Rochelle Takiyah Singleton, LPC-R

• Ophthalmology Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.