NPI 1104040328
Jack Shaw Superior Eye Care
Practice location
- Address
- 2906 N Broadway St, Chicago, IL 60657-7163
- Phone
- (773) 525-1601
- Fax
- (773) 435-4210
Authorised official
- Name
- Jack Shaw
- Title
- Owner
- Phone
- (773) 525-1601
Registered specialties
Optician
Primary
Registry record
- NPI
- 1104040328
- Entity type
- Organization
- NPI issued
- 11 Apr 2007
- Record last updated
- 19 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.