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ROBERT J SHAW, LDO, CPOT – NPI #1710160726
Optician

NPI Profile for ROBERT J SHAW in VANCOUVER, WA.

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Contact Information

ROBERT J SHAW, LDO, CPOT
13504 NE 84TH ST # 103255
VANCOUVER, WA  98682-3091
 Phone: 509-969-3308
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Optician

 156FX1800X 96[5] Optician
 

Contact Lens Fitter

 156FC0801X
 

Optometric Technician

 156FX1202X
Indicates primary specialty

NPI Profile & details for ROBERT J SHAW · (Male)

NPI Number 1710160726
Status Active
Credentials LDO, CPOT
Entity Individual
Enumeration date 12/12/2007
Last updated 04/19/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # DO00002080
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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