DR. KENNETH STEVEN SHAW (NPI# 1326106931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326106931 |
| Entity Type | Individual |
| Full Name | DR. KENNETH STEVEN SHAW |
| Credential | O.D. |
| Practice Address |
997 Windmill Pkwy Evans GA 30809-6666 |
| Practice Telephone | 7067877155 |
| Practice Fax Number | 7067872666 |
| Mailing Telephone | 7067877155 |
| Mailing Fax Number | 7067872666 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1483 | TN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801988167 | Kenneth John Shaw | Dentist | 8125 La Plz, Cotati, CA 94931-4244 | 2006-09-28 |
| 1316387392 | Kenneth Aaron Shaw | Orthopaedic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2013-07-05 |
| 1285947424 | Kenneth Ryan Shaw | Chiropractor | 711 E Main St, Suite 102, Hendersonville, TN 37075-2740 | 2010-07-16 |
| 1588700611 | Kenneth R Shaw | Social Worker | 4400 Breckenridge Ln, Louisville, KY 40218-4082 | 2007-01-29 |
| 1912088287 | Kenneth Shaw | Counselor | 175 Remsen St, 10th Floor, Brooklyn, NY 11201-4300 | 2006-10-17 |
| 1780788364 | Kenneth Allen Shaw Jr. | Anesthesiology | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2006-09-12 |
| 1124060249 | Kenneth Neil Shaw | Emergency Medicine | 709 Middle Creek Rd, Sevierville, TN 37862-5047 | 2006-06-12 |
| Street Address |
997 WINDMILL PKWY |
| City | EVANS |
| State | GA |
| Zip Code | 30809-6666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
| 1841604220 | Michael Wesley Broome | Optometrist | 510 N Belair Rd, Evans, GA 30809-3105 | 2014-06-13 |
| 1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
| 1992989958 | Tzyecl, Inc | Optometrist | 4469 Washington Rd., Evans, GA 30809 | 2007-12-26 |
| 1043437486 | Eyecare One Martinez LLC | Optometrist | 510 North Belair Rd, Evans, GA 30809 | 2007-04-19 |
| 1083672422 | Paul Wesley Broome | Optometrist | 510 North Belair Road, Evans, GA 30809 | 2006-05-03 |
| 1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
| 1225446701 | Casey N Roland, Od, PC | Optometrist | 4409 Evans To Locks Rd, Evans, GA 30809-3603 | 2014-07-28 |
| 1609283902 | Charles Gallegos | Optometrist | 2930 11th Ave, Evans, CO 80620-1011 | 2014-07-18 |
| 1326215559 | Gregory M Fowler | Optometrist | 4469 Washington Rd, Evans, GA 30809 | 2008-05-16 |
| Find all providers in EVANS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.