Dong Eok Shin
Dong Eok Shin is an Optician in Riverside, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
4250 Van Buren BlvdRiverside, CA 92503-2602
Phone: (909) 964-9524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 70820 (CA) |
|---|
Record details
| NPI number | 1164075198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2019 |
| Last updated in NPPES | January 23, 2023 |
| Certification date | January 23, 2023 |
| Mailing address | 23684 Gold Nugget Ave, Diamond Bar, CA 91765-2335 |
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