National Provider Identifier

Janice Ren Shaver, OPTICIAN

Janice Ren Shaver, OPTICIAN is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Irving, NY and a listed phone number of (716) 934-3300.

NPI 1396375077Irving, NYOphthalmology Physician

Profile Overview

NPI
1396375077
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
January 22, 2020
Last Updated
January 22, 2020

Practice Location

  • 12657 Seneca RD
  • Irving, NY 14081-9707

Phone: (716) 934-3300

Mailing Address

  • 5844 Southwestern Blvd
  • Hamburg, NY 14075-3684

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1396375077
Entity Type
Individual
Last Name
Shaver
First Name
Janice
Middle Name
Ren
Name Prefix
Mrs.
Credential
OPTICIAN
Mailing Street Address
5844 Southwestern Blvd
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-3684
Mailing Country
US
Mailing Phone
(716) 898-2002
Mailing Fax
(716) 926-6310
Practice Street Address
12657 Seneca RD
Practice City
Irving
Practice State
NY
Practice ZIP Code
14081-9707
Practice Country
US
Practice Phone
(716) 934-3300
Practice Fax
(716) 934-2040
Enumeration Date
January 22, 2020
Last Updated
January 22, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 22, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)