Individual
WHITNEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6835 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130-3616
(440) 884-4725
(440) 884-4752
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 464-1479
(586) 464-1480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.6502
OH
Other
Enumeration date
06/09/2016
Last updated
02/21/2018
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