Shaw Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3892/T648 Issued in OH

Legal business name

SHAW EYE CARE INC

Practice address

5821 W Central Ave
Toledo, OH 43615-1403

Phone

(419) 536-9294

Fax

(419) 536-9340

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Shaw, ODNPI 1013928480

Title

Owner

Phone

(419) 536-9294

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Shaw, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1013928480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1649437781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 SHADYWOOD LN",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601869",
            "telephone_number": "419-536-9294",
            "fax_number": "419-536-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151403",
            "telephone_number": "419-536-9294",
            "fax_number": "419-536-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-536-9294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3892/T648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "900E810850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Sharp
• Amanda Shauger
• Ruth Ann Shaver
• Melissa Shavers
• Shavonne Hinton
• Elora Danielle Shaw
• Erica Shaw
• Jamie Marie Shaw
• John Robert Shaw, O.D.
• Katherine Shaw

• Optometrist in Toledo, OH
• Providers in Toledo, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.