DR. DAVID SUNG SHIN O.D. NPI 1245372200

NPI Information

NPI: 1245372200
Provider Name: DR. DAVID SUNG SHIN, O.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

PECOS Registration: Yes

Address:
15923 BEAR VALLEY RD
STE B100
HESPERIA, CA
ZIP 92345
Phone: (909) 980-5552
Get Directions

DR. David Sung Shin, O.D. is a low vision rehabilitation optometrist in Hesperia, CA with 23 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. David Sung Shin, O.D. NPI is 1245372200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:2001

The provider's business location address is:

15923 BEAR VALLEY RD
STE B100
HESPERIA, CA
ZIP 92345-762
Phone: (909) 980-5552

The NPI 1245372200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/13/2007 and was last updated on 9/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		12779T	CALIFORNIA	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	12779T	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SD0127790	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »