Individual
MR. ROBERT JAMES SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO, CPOT
Contact information
Practice address
13504 NE 84TH ST # 103255, VANCOUVER, WA 98682-3091
(509) 969-3308
Mailing address
13504 NE 84TH ST # 103255, VANCOUVER, WA 98682-3091
(509) 969-3308
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
DO00002080
WA
Other
Enumeration date
12/12/2007
Last updated
04/19/2017
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