Organization
SHAW OPTICIANS LLC
Active
Other names
shaw opticians llc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA LOUISE VERACE (OFFICE MANAGER)
(585) 544-3430
Entity
Organization
Contact information
Practice address
1295 PORTLAND AVE, ROCHESTER, NY 14621-2731
(585) 544-3430
(585) 544-3473
Mailing address
1295 PORTLAND AVE, ROCHESTER, NY 14621-2731
(585) 544-3430
(585) 544-3473
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C002739-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00450564
—
NY
Enumeration date
01/18/2008
Last updated
08/12/2008
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