Carl K Shin (NPI# 1326046251, PAC ID# 4486738580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1326046251 |
| PAC ID by PECOS | 4486738580 |
| Professional Enrollment ID | I20100119000594 |
| Full Name | Carl K Shin |
| Organization Legal Name | ICE OPHTHALMOLOGY LLC |
| Address |
2141 Mentor Ave Painesville OH 44077-1323 |
| Phone Number | 4403546900 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5092074138 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2141 Mentor Ave, Painesville, OH 44077-1323 | 4403546900 | ICE OPHTHALMOLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 99% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | ICE OPHTHALMOLOGY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema J Ice | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Street Address |
2141 MENTOR AVE |
| City | PAINESVILLE |
| State | OH |
| Zip | 44077-1323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema J Ice | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger J Mize | Clinical Social Worker | Western Reserve Counseling Service, Inc.. | Victoria Place On The Park, Painesville, OH 44077 |
| Marcus Estafanous | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Stephen R Kaufman | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Maryann Bencin | Qualified Audiologist | 1701 Mentor Ave, Suite 5, Painesville Twp., OH 44077-1459 | |
| Paul Canning Hanahan | General Practice | 50 Normandy Dr, Suite 5, Painesville, OH 44077-1600 | |
| John Harsha Paul | Orthopedic Surgery | 50 Normandy Dr, Suite 2, Painesville, OH 44077-1600 | |
| Scott J Gill | Chiropractic | 1545 Mentor Ave, Painesville, OH 44077-1706 | |
| Brian J Morris | Chiropractic | 1640 Mentor Ave, Painesville, OH 44077-1707 | |
| Louis J Demicco | Physical Medicine and Rehabilitation | Louis Demicco Do Inc | 263 Mentor Ave, Painesville, OH 44077-3105 |
| Dennis Shcherbakov | Physical Therapy | Louis Demicco Do Inc | 263 Mentor Ave, Painesville, OH 44077-3105 |
| Find all physicians in zip 44077 | |||
| City | PAINESVILLE |
| Zip Code | 44077 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PAINESVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Carl K Shin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.