National Provider Identifier

Shaw Opticians LLC

Shaw Opticians LLC 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 1972789071Rochester, NYEyewear Supplier

Profile Overview

NPI
1972789071
Provider Type
Organization
Primary Specialty
Eyewear Supplier
Enumeration Date
January 18, 2008
Last Updated
August 12, 2008

Practice Location

  • 1295 Portland Ave
  • Rochester, NY 14621-2731

Phone: (585) 544-3430

Specialties

  • Eyewear Supplier (332H00000X)
Full Record
NPI
1972789071
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Shaw Opticians LLC
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
January 18, 2008
Last Updated
August 12, 2008
Authorized Official Last Name
Verace
Authorized Official First Name
Barbara
Authorized Official Middle Name
Louise
Authorized Official Title
Office Manager
Authorized Official Phone
(585) 544-3430
Organization Subpart
No
Authorized Official Name Prefix Text
MS.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Eyewear Supplier (332H00000X)
Other Identifiers
00450564 (NY)