Dr Jisoo L Shin, OD - Optometrist in Scarsdale, NY

Dr Jisoo L Shin, OD is a Optometrist based in Scarsdale, New York. Dr Jisoo L Shin is licensed to practice in New York (license number T006053-1) and her current practice location is 971 Central Park Ave, Suite 5, Scarsdale, New York. She can be reached at her office (for appointments etc.) via phone at (914) 723-7392.

NPI number for Dr Jisoo L Shin is 1962527846 and her current mailing address is 46 Heath Pl, Hastings On Hudson, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962527846.

Contact Information

Dr Jisoo L Shin, OD
971 Central Park Ave, Suite 5,
Scarsdale, NY 10583-3211
(914) 723-7392
(914) 723-1004

Map and Direction




Healthcare Provider's Profile

Full NameDr Jisoo L Shin
GenderFemale
SpecialityOptometrist
Location971 Central Park Ave, Scarsdale, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962527846
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 05/05/2008

Medical Identifiers

Medical identifiers for Dr Jisoo L Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962527846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 27OA00549600 (New Jersey)Secondary
152W00000XOptometrist 27TO00087000 (New Jersey)Secondary
152W00000XOptometrist T006053-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jisoo L Shin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jisoo L Shin, OD
46 Heath Pl,
Hastings On Hudson, NY 10706-3619

Ph: (914) 479-1578
Dr Jisoo L Shin, OD
971 Central Park Ave, Suite 5,
Scarsdale, NY 10583-3211

Ph: (914) 723-7392

Reviews and Comments


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