Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACK CHING SHAW, OPTICIAN
Active Sole ProprietorMS. JACK CHING SHAW, OPTICIAN is a Optician healthcare provider located in CHICAGO, Illinois. NPI 1104947316 is currently active in the NPPES registry. Verify at CMS.
Optician · CHICAGO, IL
Registration Details
- NPI Number
- 1104947316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.323184754144 yrs)
- Last Updated
- May 5, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
2906 N BROADWAY STCHICAGO, IL, 606577163Browse IL providers · Browse ZIP 60657
- Phone
- 7735251601
- Fax
- 7734354210
- Primary Specialty
-
Optician
156F00000X
Other Optician Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SULPICIA M LIM II | — | 1992917090 |
| TACHANDRA OHEARN | — | 1619537347 |
| TIMOTHY NIEHAUS | CNIM | 1528696119 |
| TAMERA RIMMER | — | 1376305029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.