{"npi":"1487657672","type":"NPI-1","status":"active","name":{"display":"Dr. Y. Shin M.D.","other":[],"first":"Y.","last":"SHIN","middle":"VICTOR","credential":"M.D."},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"OH","license":"35-04-6082-S"}]},"addresses":[{"purpose":"LOCATION","street_1":"6770 MAYFIELD RD","city":"MAYFIELD HTS","state":"OH","postal_code":"441242299","country_code":"US","street_2":"STE 338","phone":"4404424330","fax":"4404424695"},{"purpose":"MAILING","street_1":"6770 MAYFIELD RD","city":"MAYFIELD HTS","state":"OH","postal_code":"441242299","country_code":"US","street_2":"STE 338","phone":"4404424330","fax":"4404424695"}],"license":{"state":"OH","number":"35-04-6082-S"},"identifiers":[{"type_code":"01","label":"Other","value":"180016877","state":"OH","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"922348","state":"OH","issuer":"EYEMED"},{"type_code":"01","label":"Other","value":"0801004","state":"OH","issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"000000130733","state":"OH","issuer":"ANTHEM BC/BS"},{"type_code":"05","label":"Medicaid","value":"0528307","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"341345260","state":"OH","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"34134526000","state":"OH","issuer":"BUREAU OF WORKERS COMP"},{"type_code":"01","label":"Other","value":"102468","state":"OH","issuer":"KAISER"},{"type_code":"01","label":"Other","value":"112070001","state":"OH","issuer":"ADMINISTAR FEDERAL"},{"type_code":"01","label":"Other","value":"341345260027","state":"OH","issuer":"CARESOURCE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121212000235","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"OH","pac_id":"4981855418"}]},"enumeration_date":"2005-05-23","last_updated":"2024-04-24","_meta":{"source":"NPPES","snapshot_date":"2024-04-24","doc_url":"https://findmynpi.com/api"}}