person
Mr. Edward F Shaw
Optician in Rochester, New York
NPI 1821066135

Edward F Shaw is a Optician based in Rochester, NY and is specialized in Optician. Edward F Shaw practices in Rochester, NY. The NPI Number for Edward F Shaw is 1821066135 and holds a License No. 00002739 (New York).

The current practice location address for Edward F Shaw is 1295 Portland Ave, Rochester, NY and can be reached out via phone at 585-544-3430 and via fax at 585-544-3473.

Location: 1295 Portland Ave, Rochester, NY, 14621-2731
person
Provider Profile Details
NPI Number
1821066135
Provider Name
Edward F Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
1295 Portland Ave, Rochester, NY, 14621-2731
Phone Number
585-544-3430
Fax Number
585-544-3473
Provider Enumeration Date
03/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00450564 05 NY
8720 01 NY BLUE CROSS BLUE SHIELD
103245CT 01 NY PREFERRED CARE
institution
Provider Business Practice Location Address Details
Address
1295 Portland Ave
City
State
Zip
14621-2731
Phone Number
585-544-3430
Fax Number
585-544-3473
person
Provider Business Mailing Address Details
Address
1295 Portland Ave
City
State
Zip
14621-2731
Phone Number
585-544-3430
Fax Number
585-544-3473
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
00002739 (New York)
Definition
Definition to come...
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