Shaw, Edward F

Shaw, Edward F is an individual health care provider with primary practice located at 1295 Portland Ave Suite 1, Rochester NY 14621-2731. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Shaw, Edward F can be contacted via phone (585) 544-3430.

Contact Information

Primary practice address
1295 Portland Ave Suite 1 Rochester NY 14621-2731
Fax: (585) 544-3473
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 00002739 New York

Profile Details

NPI number 1821066135
LBN Legal business name Shaw, Edward F
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821066135 NPPES
New York MEDICAID 00450564
New York Other 8720
New York Other 103245CT

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