Dong Eok Shin
Technician/Technologist, Optician in Riverside, CA. Individual provider (NPI-1).
NPI number1164075198
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1164075198
- Entity type
- Individual (NPI-1)
- Name
- Dong Eok Shin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2019
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 70820 | CA | Yes |
Practice location
4250 Van Buren BlvdRiverside, CA 92503-2602
Phone 909-964-9524
Mailing address
23684 Gold Nugget AveDiamond Bar, CA 91765-2335
Phone 213-500-8292
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Other Optician providers in Riverside, CA
- A Child'S View, INC.NPI 1023157146
- National Vision, INC.NPI 1043757123
- Optical CenterNPI 1952545824
- Pv VisionNPI 1831743525
All 5 Optician providers in Riverside · All 16,640 providers in Riverside
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