Golden San Gabriel Optometric Vision Center
NPI 1740216936ActiveOrganization· Optometrist· San Gabriel, CA
Optometrist in San Gabriel, California, registered in NPPES in June 2006. The authorized official on file is Jiyen Shin, O.D., Owner/Optometris. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740216936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2006 |
| Last updated in NPPES | Mar 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 9727 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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