Organization Active NPI

Shaw Opticians LLC

  • Eyewear Supplier
  • Rochester, NY
National Provider Identifier
1972789071
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
C002739-1 Issued in NY
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

Updated by the provider on Aug 12, 2008

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)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 identifiers 1

IdentifierTypeStateIssuer
00450564MedicaidNY

Other names 1

  • shaw opticians llc Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.