Kenneth Steven Shaw, O.D.

Optometrist · Evans, GA

Individual Active NPI

NPI number 1326106931

Practice location

997 Windmill Pkwy
Evans, GA 30809-6666
Phone
(706) 787-7155
Fax
(706) 787-2666

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NPI record

NPI
1326106931
Entity type
Individual (Type 1)
Enumeration date
December 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1483 TN

About Dr. Shaw

Kenneth Steven Shaw, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 997 Windmill Pkwy, Evans, GA 30809-6666. The NPI number 1326106931 was assigned on December 5, 2006 and the record was last updated on July 8, 2007.

Dr. Shaw lists a license in the registry: #1483 (TN) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Steven Shaw, O.D.?

The NPI number is 1326106931.

What is the phone number of Dr. Shaw?

The phone number listed for the practice location is (706) 787-7155.

Where is Dr. Shaw located?

997 Windmill Pkwy, Evans, GA 30809-6666.

What is the taxonomy code for Dr. Shaw?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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