National Provider Identifier

Edward F Shaw

Edward F Shaw is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 544-3430.

NPI 1447433966Rochester, NYEyewear Supplier

Profile Overview

NPI
1447433966
Provider Type
Organization
Primary Specialty
Eyewear Supplier
Enumeration Date
December 06, 2007
Last Updated
December 06, 2007

Practice Location

  • 1295 Portland Ave
  • Rochester, NY 14621-2731

Phone: (585) 544-3430

Specialties

  • Eyewear Supplier (332H00000X)
Full Record
NPI
1447433966
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Edward F Shaw
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
1295 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2731
Mailing Country
US
Mailing Phone
(585) 544-3430
Mailing Fax
(585) 544-3473
Practice Street Address
1295 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2731
Practice Country
US
Practice Phone
(585) 544-3430
Practice Fax
(585) 544-3473
Enumeration Date
December 06, 2007
Last Updated
December 06, 2007
Authorized Official Last Name
Shaw
Authorized Official First Name
Edward
Authorized Official Middle Name
F
Authorized Official Title
Owner
Authorized Official Phone
(585) 544-3430
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Eyewear Supplier (332H00000X)