Individual
DR. JOHN ROBERT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5821 W CENTRAL AVE, TOLEDO, OH 43615-1403
(419) 536-9294
(419) 536-9340
Mailing address
6020 W BANCROFT ST, # 352215, TOLEDO, OH 43615-3200
(419) 536-9294
(419) 536-9340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3892
OH
152W00000X
Optometrist
4901003796
MI
Other
Enumeration date
08/11/2006
Last updated
08/30/2016
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