Crystal Vision Optometry

LBN: David Shin Optometry
Crystal Vision Optometry is an health care organization with primary practice located at 8003 Archibald Ave , Rancho Cucamonga CA 91730-2892. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. David Shin Optometry can be contacted via phone (909) 980-5552, or through Shin, David S via phone (909) 980-5552.

Contact Information

Primary practice address
8003 Archibald Ave Rancho Cucamonga CA 91730-2892
Phone: (909) 980-5552
Fax: (909) 568-2413
Website:
Map and Directions
Authorized official contact:
Name: Shin, David S Doctor of Optometry (OD)
Phone: (909) 980-5552

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 12779T California

Profile Details

NPI number 1376778555
LBN Legal business name David Shin Optometry
DBA Doing business as Crystal Vision Optometry
Authorized official Shin, David S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376778555 NPPES
California MEDICAID SD0127790

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