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SHIN LEE OD
NPI 1255903795
Optometrist in Oakland, CA

Active since July 14, 2021
491 30TH ST STE 201, OAKLAND, CA 94609(510) 836-2122(510) 836-3773 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2023, Jul 24, 2022, Jul 14, 2021 (3 updates tracked since 2021).

About Shin Lee Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIN LEE OD (NPI 1255903795) is an individual optometrist in Oakland, California, licensed in California (35010) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1255903795
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSHIN LEECredential: OD
Location Address491 30TH ST STE 201Oakland, CA 94609-3235
Mailing Address2383 N Main StWalnut Creek, CA 94596-3549 · (530) 220-4500
Phone(510) 836-2122
Fax(510) 836-3773
Sole ProprietorNo
Enumeration DateJuly 14, 2021
Last NPPES UpdateApril 3, 20233 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1255903795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 35010
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
491 30TH ST STE 201, Oakland, CA 94609
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY LIU OD
Optometrist
491 30TH ST STE 201
OAKLAND, CA 94609
Alameda County (510) 836-2122
JENNIFER EDITH DE NIRO M.D.
Ophthalmology
491 30TH ST STE 201
OAKLAND, CA 94609
Alameda County (510) 836-2122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shin Lee's NPI number?

The NPI number for Shin Lee is 1255903795. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Shin Lee located?

Shin Lee practices at 491 30th St Ste 201, Oakland, CA 94609. The listed phone number is (510) 836-2122.

What is Shin Lee's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Shin Lee was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.