Provider Demographics
NPI:1316246879
Name:DR BORWEN NEWMAN SHIUE OPTOMETRY INC
Entity type:Organization
Organization Name:DR BORWEN NEWMAN SHIUE OPTOMETRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BORWEN
Authorized Official - Middle Name:NEWMAN
Authorized Official - Last Name:SHIUE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:310-699-2988
Mailing Address - Street 1:727 SILVER SPUR RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3684
Mailing Address - Country:US
Mailing Address - Phone:310-541-3779
Mailing Address - Fax:310-541-0274
Practice Address - Street 1:727 SILVER SPUR RD STE 105
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3684
Practice Address - Country:US
Practice Address - Phone:310-541-3779
Practice Address - Fax:310-541-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13577 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty