Organization Active NPI

Edward F Shaw

  • Eyewear Supplier
  • Rochester, NY
National Provider Identifier
1447433966
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
C002739-1 Issued in NY
Legal business name
EDWARD F SHAW
Practice address
1295 Portland Ave
Rochester, NY 14621-2731
Phone
(585) 544-3430
Fax
(585) 544-3473
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mr. Edward F Shaw
Title
Owner
Phone
(585) 544-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X C002739-1 NY Primary

Addresses

Primary practice location

1295 Portland Ave
Rochester, NY 14621-2731

Mailing address

1295 Portland Ave
Rochester, NY 14621-2731
Phone (585) 544-3430

Other names 1

  • SHAW OPTICIANS Doing business as

National Provider Directory

National Provider Directory

Locations

1295 Portland Ave
Rochester, NY 14621
Phone (585) 544-3430

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1447433966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212731",
            "telephone_number": "585-544-3430",
            "fax_number": "585-544-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212731",
            "telephone_number": "585-544-3430",
            "fax_number": "585-544-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F SHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-544-3430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "C002739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAW OPTICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.