Frederick C. Shaw & Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

1535 Issued in GA

Legal business name

FREDERICK C. SHAW & ASSOCIATES

Practice address

645 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-4922

Phone

(770) 420-2268

Fax

(770) 825-9200

NPI assigned

Sep 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Freda A Thomas

Title

Billing Manager

Phone

(770) 722-2344

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1053820399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ERNEST W BARRETT PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444922",
            "telephone_number": "770-420-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ERNEST W BARRETT PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444922",
            "telephone_number": "770-420-2268",
            "fax_number": "770-825-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK C. SHAW & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-722-2344",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne C Francis, M.S., LPC, MAC
• Stephanie Francois
• Janis Rivas Franklin, MSN, APRN, FNP - C
• Tanisha Franklin, OTA002127
• Stephanie Fransoso, DMD
• Alan I Freedman, MD
• Freedom Rest of Kennesaw LLC
• Adam Reed Freeman, ED.S., ATC
• Kimm Freeman
• Elspeth A. French, OT

• Optometrist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.