National Provider Identifier

Edward F Shaw

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

NPI 1821066135Rochester, NYOptician

Source: public NPPES record, last updated July 09, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1821066135
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
March 11, 2006
Last Updated
July 09, 2007

Practice Location

  • 1295 Portland Ave
  • Suite 1
  • Rochester, NY 14621-2731

Phone: (585) 544-3430

Specialties

  • Optician (156FX1800X)

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Full Record
NPI
1821066135
Entity Type
Individual
Last Name
Shaw
First Name
Edward
Middle Name
F
Name Prefix
Mr.
Mailing Street Address
1295 Portland Ave
Mailing Address Line 2
Suite 1
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 Address Line 2
Suite 1
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
March 11, 2006
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
00450564 (NY), 8720 (NY, Blue Cross Blue Shield), 103245CT (NY, Preferred Care)