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.
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)
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)