Frederick C. Shaw & Associates | |
645 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4922 | |
(770) 420-2268 | |
(770) 825-9200 |
Full Name | Frederick C. Shaw & Associates |
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Type | Facility |
Speciality | Optometrist |
Location | 645 Ernest W Barrett Pkwy Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053820399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1535 (Georgia) | Primary |
Provider Name | Frederick C. Shaw |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750590980 PECOS PAC ID: 8527491208 Enrollment ID: I20191211001173 |
Mailing Address | Practice Location Address |
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Frederick C. Shaw & Associates 645 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4922 Ph: (770) 420-2268 | Frederick C. Shaw & Associates 645 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4922 Ph: (770) 420-2268 |
Dennis G Bergin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Barrett Pkwy Ste 500, Sears Optical-town Center Mall, Kennesaw, GA 30144 Phone: 770-424-5367 Fax: 678-337-7933 | |
Ryan Chihien Tieu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1415 Wooten Lake Rd Nw, Kennesaw, GA 30144 Phone: 770-792-3937 Fax: 770-847-2727 | |
Tasman Eye Consultants Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144 Phone: 770-792-3937 Fax: 770-427-9826 | |
Dr. William Wha Wang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3105 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-974-8646 Fax: 770-974-5188 | |
Hester Eye Associates, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3745 Cherokee St Nw, Ste 404, Kennesaw, GA 30144 Phone: 770-590-8191 Fax: 770-590-8192 | |
Dr. Ekta Gaurang Patel, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Barrett Pkwy, 297, Kennesaw, GA 30144 Phone: 770-421-1734 Fax: 770-421-0319 |