Organization
MAIN STREET EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER THOMAS SHAW OD (OWNER/OPTOMETRIST)
(814) 375-0125
Entity
Organization
Contact information
Practice address
200 S MAIN ST, DU BOIS, PA 15801-1578
(814) 375-0125
(814) 375-2291
Mailing address
200 S MAIN ST, DU BOIS, PA 15801-1578
(814) 375-0125
(814) 375-2291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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