Individual
MRS. JANICE REN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
12657 SENECA RD, IRVING, NY 14081-9707
(716) 934-3300
(716) 934-2040
Mailing address
5844 SOUTHWESTERN BLVD, HAMBURG, NY 14075-3684
(716) 898-2002
(716) 926-6310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
254155
NY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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