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WILLIAM E. SHAW JR. MD LLC. NPI 1760567051


NPI Information

NPI: 1760567051
Provider Name: WILLIAM E. SHAW, JR., MD LLC.

Former Legal Business Name: WILLIAM E. SHAW, JR., MD PLC, D/B/A/ SEESHAW EYECARE AT SAM'S CLUB

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
114 SOUTHPARK CIRCLE
C/O SEARS OPTICAL
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 277-4410
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WILLIAM E. SHAW, JR., MD LLC. is an ophthalmology in Colonial Heights, VA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WILLIAM E. SHAW, JR., MD LLC. NPI is 1760567051. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is William E. Shaw, Jr., Md Plc, D/b/a/ Seeshaw Eyecare At Sam's Club.

The provider's business location address is:

114 SOUTHPARK CIRCLE
C/O SEARS OPTICAL
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 277-4410

The provider's authorized official is William Edward Shaw .
The authorized official title is Principal and has the following contact phone number (804) 277-4410.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 4/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F43536MEDICARE UPINVIRGINIA
2C09049MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
3006304010MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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