Provider Demographics
NPI:1487228334
Name:SHYU EYE CARE LLC
Entity Type:Organization
Organization Name:SHYU EYE CARE LLC
Other - Org Name:BRANDYWINE EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENRT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHYU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-621-6741
Mailing Address - Street 1:919 RIDGE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1418
Mailing Address - Country:US
Mailing Address - Phone:408-621-6741
Mailing Address - Fax:
Practice Address - Street 1:2500 GRUBB RD STE 234
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4796
Practice Address - Country:US
Practice Address - Phone:302-475-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-16
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty