Active NPI
Shaw Opticians LLC
- Eyewear Supplier
- Rochester, NY
National Provider Identifier
1972789071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- C002739-1
- Legal business name
- SHAW OPTICIANS LLC
- Doing business as
- shaw opticians llc
- Practice address
- 1295 Portland Ave
Rochester, NY 14621-2731 - Phone
- (585) 544-3430
- Fax
- (585) 544-3473
- NPI assigned
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara Louise Verace
- Title
- Office Manager
- Phone
- (585) 544-3430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00450564 | Medicaid | NY |
Other names 1
- shaw opticians llc
National Provider Directory
National Provider DirectoryLocations
1295 Portland Ave
Ste 1
Rochester, NY 14621
Phone (585) 544-3430
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Rochester, NY
- NPI 1184163776
-
- Optician
- Rochester, NY
- NPI 1699212878
-
- Optician
- Rochester, NY
- NPI 1326208026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1972789071",
"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": "SHAW OPTICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "VERACE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "585-544-3430",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NY",
"license": "C002739-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00450564",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "shaw opticians llc",
"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 Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.