Jacob D Shaw O.D.

NPI 1093793713 - Optometrist - 152W00000X

NPI Details
NPI 1093793713
Gender Male
Enumeration Date 01/03/2006
Last Updated 11/21/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2251 N WOODLAWN ST
WICHITA KS, 67220-3947, US
Phone (316) 686-6063
Fax (316) 686-4214
Business Location
2251 N WOODLAWN ST
WICHITA KS, 67220-3947, US
Phone (316) 686-6063
Fax (316) 686-4214
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1665
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According to our database, Dr. Jacob D Shaw O.D. NPI is 1093793713, taxonomy code is 152W00000X and license number is 1665, license state is located at Kansas. Jacob D Shaw O.D. physically located at 2251 N Woodlawn St, Wichita KS, 67220-3947. NPI Number Jacob D Shaw O.D. has the Individual type.

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1093793713 NPI number is provided on an as is basis without warranty of any kind. 1093793713 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob D Shaw O.D. are for informational purposes only.