Dr. Kathy Shin, OD
Optometrist in Fanwood, New Jersey
1457648867- Practice location
- 246 South Ave, Suite 106, Fanwood, NJ 07023-1220
- Phone
- 908-366-7605
- Fax
- —
- Last updated
- June 2, 2017
Kathy Shin is an Optometrist based in Fanwood, NJ. Kathy Shin practices in Fanwood, NJ and has the professional credentials of OD. The NPI Number for Kathy Shin is 1457648867 and holds a License No. 27OA00643700 (NJ). The current practice location address for Kathy Shin is 246 South Ave, Suite 106, Fanwood, NJ 07023-1220 and can be reached out via phone at 908-366-7605.
Provider Profile Details
- NPI Number
- 1457648867
- Provider Name
- Kathy Shin
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 246 South Ave, Suite 106, Fanwood, NJ 07023-1220
- Phone Number
- 908-366-7605
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2011
- Last Update Date
- June 2, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 246 South Ave
Suite 106
Fanwood, NJ 07023-1220 - City
- Fanwood
- State
- New Jersey
- Zip
- 07023-1220
- Phone Number
- 908-366-7605
Provider Business Mailing Address Details
- Address
- 246 South Ave
#106
Fanwood, NJ 07023 - City
- Fanwood
- State
- NJ
- Zip
- 07023
- Phone Number
- 908-379-8178
License Information
- License Number
- 27OA00643700
- License State
- NJ
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kathy Shin, OD?
The NPI number of Dr. Kathy Shin, OD is 1457648867. It was assigned on July 6, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Kathy Shin, OD?
Dr. Kathy Shin, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00643700.
Where does Dr. Kathy Shin, OD practice?
The practice location is 246 South Ave, Suite 106, Fanwood, NJ 07023-1220. The office can be reached at 908-366-7605 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457648867 directly on the NPPES registry website.