Carl K Shin
ICE OPHTHALMOLOGY LLC


Address: 2141 Mentor Ave, Painesville, OH 44077-1323
Phone: 4403546900

Carl K Shin (NPI# 1326046251, PAC ID# 4486738580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

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

Other Locations

Address Phone Organization
2141 Mentor Ave, Painesville, OH 44077-1323 4403546900 ICE OPHTHALMOLOGY LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name ICE OPHTHALMOLOGY LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Seema J Ice Ophthalmology Ice Ophthalmology LLC 2141 Mentor Ave, Painesville, OH 44077-1323

Office Location

Street Address 2141 MENTOR AVE
City PAINESVILLE
State OH
Zip 44077-1323

Physicians in the same location

Name Specialty Organization Address
Seema J Ice Ophthalmology Ice Ophthalmology LLC 2141 Mentor Ave, Painesville, OH 44077-1323

Physicians in the same zip code

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

Competitor

Search similar physicians

City PAINESVILLE
Zip Code 44077
Specialty OPHTHALMOLOGY
City + Specialty PAINESVILLE + OPHTHALMOLOGY

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Dataset Information

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.

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