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DR. KATHY SHIN O.D.
NPI 1457648867
Optometrist in Fanwood, NJ

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
246 SOUTH AVE, SUITE 106, FANWOOD, NJ 07023(908) 366-7605 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2017, Feb 23, 2017 (2 updates tracked since 2017).

About Dr. Kathy Shin O.d. NPPES

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

DR. KATHY SHIN O.D. (NPI 1457648867) is an individual optometrist in Fanwood, New Jersey, licensed in New Jersey (27OA00643700) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2011).

NPPES Registry Identity

NPI1457648867
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHY SHINCredential: O.D.
Location Address246 SOUTH AVE, SUITE 106Fanwood, NJ 07023-1220
Mailing Address246 South Ave, #106Fanwood, NJ 07023 · (908) 379-8178
Phone(908) 366-7605
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateJune 2, 20172 updates tracked since enumeration
✔ NPI 1457648867 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 NJ · 27OA00643700
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.
246 SOUTH AVE, Fanwood, NJ 07023
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathy Shin O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941566111
PECOS Enrollment IDI20171108001100
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathy Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fanwood Eye Care LLC
Same address
Optometrist
246 SOUTH AVE, #106
Fanwood, NJ 07023
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1396281564 (978) 987-0698

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services18 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

FANWOOD EYE CARE LLC
Optometrist
246 SOUTH AVE, #106
FANWOOD, NJ 07023
Union County (978) 987-0698

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 Kathy Shin's NPI number?

The NPI number for Kathy Shin is 1457648867. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Kathy Shin located?

Kathy Shin practices at 246 South Ave Suite 106, Fanwood, NJ 07023. The listed phone number is (908) 366-7605.

What is Kathy Shin's specialty?

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

Is Kathy Shin enrolled in Medicare?

Yes. Kathy Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kathy Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Shin reassigns Medicare benefits to Fanwood Eye Care LLC (Fanwood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Shin accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Kathy Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathy Shin was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.