NPI 1013928480

John Robert Shaw, OD

Practitioner Optometrist Toledo, OH

Practice location

Address: 5821 W Central Ave, Toledo, OH 43615-1403
Phone: (419) 536-9294
Fax: (419) 536-9340
Mailing address: 6020 W Bancroft St # 352215, Toledo, OH 43615-3200

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3892 (OH)

Other Optometrist providers in Ohio →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901003796 (MI)

Registry record

NPI: 1013928480
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2006
Record last updated: 30 Aug 2016

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.