Individual
QUENTIN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3333 N RIDGE RD, WICHITA, KS 67205-1203
(316) 201-4600
Mailing address
12106 W AUTUMN RIDGE CT, WICHITA, KS 67235-9725
(785) 829-1814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2282
KS
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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