Organization
HUNT & SHAW, A PROFESSIONAL OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D. SHAW OD (CEO)
(831) 336-2279
Entity
Organization
Contact information
Practice address
7965 HIGHWAY 9, BEN LOMOND, CA 95005-9703
(831) 336-2279
Mailing address
7965 HIGHWAY 9, BEN LOMOND, CA 95005-9703
(831) 336-2279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0005490
—
CA
Enumeration date
02/28/2007
Last updated
12/09/2014
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