Provider Demographics
NPI:1831354224
Name:SHIUE, BORWEN NEWMAN (OD)
Entity type:Individual
Prefix:DR
First Name:BORWEN
Middle Name:NEWMAN
Last Name:SHIUE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13577152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist