FREDERICK C. SHAW & ASSOCIATES
NPI 1053820399
Optometrist in Kennesaw, GA

Active since September 28, 2017
645 ERNEST W BARRETT PKWY NW, KENNESAW, GA 30144(770) 420-2268(770) 825-9200 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick C. Shaw & Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK C. SHAW & ASSOCIATES (NPI 1053820399) is a healthcare organization registered as an optometrist in Kennesaw, Georgia and active in the NPI registry since September 2017. The organization lists Freda A Thomas, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053820399
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFREDERICK C. SHAW & ASSOCIATES
Location Address645 ERNEST W BARRETT PKWY NWKennesaw, GA 30144-4922
Mailing Address645 Ernest W Barrett Pkwy NwKennesaw, GA 30144-4922 · (770) 420-2268
Fax(770) 825-9200
Organization SubpartNo
Authorized OfficialFreda A ThomasBilling Manager · (770) 722-2344
Enumeration DateSeptember 28, 2017
NPI 1053820399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in GA · 1535
Definition
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.
645 ERNEST W BARRETT PKWY NW, Kennesaw, GA 30144

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
645 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Pharmacist
645 ERNEST W BARRETT PKWY NW, PHARMACY DEPARTMENT COSTCO
KENNESAW, GA 30144
Pharmacist
645 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick C. Shaw & Associates's NPI number?

The NPI number for Frederick C. Shaw & Associates is 1053820399. It was assigned to this organization in the NPPES registry on September 28, 2017.

Where is Frederick C. Shaw & Associates located?

Frederick C. Shaw & Associates is located at 645 Ernest W Barrett Pkwy NW, Kennesaw, GA 30144. The listed phone number is (770) 420-2268.

What is Frederick C. Shaw & Associates's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Frederick C. Shaw & Associates was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.