Jack Shaw Superior Eye Care in Chicago - Optician
Jack Shaw Superior Eye Care - NPI 1104040328
Jack Shaw Superior Eye Care is a Optician in Chicago, Illinois. Jack Shaw Superior Eye Care practices all healthcare services and medical treatments related to Optician. The NPI Number for Jack Shaw Superior Eye Care is 1104040328. The last update date is 2015-08-19.
Jack Shaw Superior Eye Care's current location address is 2906 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 7735251601 and fax number 7734354210. The mailing address for Jack Shaw Superior Eye Care is 2906 N Broadway St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Shaw Superior Eye Care |
|---|---|
| Address | 2906 N Broadway St, Chicago, Illinois |
| Phone Number | 7735251601 |
| Fax Number | 7734354210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shaw Jack |
| Credentials | OPTICIAN |
| Telephone Number | 7735251601 |
NPI Number Detail
| NPI Number | 1104040328 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2015-08-19 |
Provider Mailing Address Detail
| Address | 2906 N Broadway St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606577163 |
| Phone Number | 7735251601 |
| Fax Number | 7734354210 |
Provider's Primary Taxonomy Detail
| Speciality | Optician |
|---|---|
| Taxonomy | 156Fx1800X |
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Definition: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. |
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What is the unique identifier code issued to Jack Shaw Superior Eye Care by the Centers for Medicare & Medicaid Services?
The Jack Shaw Superior Eye Care has been assigned the NPI (National Provider Identifier) 1104040328. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jack Shaw Superior Eye Care's facilities are situated?
The facilities of Jack Shaw Superior Eye Care are physically located at the following address: 2906 N Broadway St, Chicago, IL, 606577163.
What is Jack Shaw Superior Eye Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Shaw Superior Eye Care's specialized field of practice is Optician, and the corresponding taxonomy code that categorizes this area of specialization is 156Fx1800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104040328 to Jack Shaw Superior Eye Care?
The Jack Shaw Superior Eye Care received its 1104040328 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information regarding Jack Shaw Superior Eye Care, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack Shaw Superior Eye Care, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-08-19.
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