Organization
JACK SHAW SUPERIOR EYE CARE
Active
Other names
superior eye care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SHAW OPTICIAN (OWNER)
(773) 525-1601
Entity
Organization
Contact information
Practice address
2906 N BROADWAY ST, CHICAGO, IL 60657-7163
(773) 525-1601
(773) 435-4210
Mailing address
2906 N BROADWAY ST, CHICAGO, IL 60657-7163
(773) 525-1601
(773) 435-4210
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/19/2015
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