MS. JACK CHING SHAW OPTICIAN
NPI 1104947316
Technician/Technologist in Chicago, IL

Active since April 03, 2007
2906 N BROADWAY ST, CHICAGO, IL 60657(773) 525-1601(773) 435-4210 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jack Ching Shaw Optician NPPES

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

MS. JACK CHING SHAW OPTICIAN (NPI 1104947316) is an individual technician/technologist in Chicago, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104947316
Entity TypeIndividualMale
Primary Taxonomy156F00000X
Provider Legal NameMS. JACK CHING SHAWCredential: OPTICIAN
Location Address2906 N BROADWAY STChicago, IL 60657-7163
Mailing Address2906 N Broadway StChicago, IL 60657-7163 · (773) 525-1601 · Fax (773) 435-4210
Fax(773) 435-4210
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 5, 2015
NPI 1104947316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

2906 N BROADWAY ST, Chicago, IL 60657

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Technician/Technologist (Optician)
2906 N BROADWAY ST
CHICAGO, IL 60657
Optometrist
2906 N BROADWAY ST
CHICAGO, IL 60657

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 Jack Shaw's NPI number?

The NPI number for Jack Shaw is 1104947316. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jack Shaw located?

Jack Shaw practices at 2906 N Broadway St, Chicago, IL 60657. The listed phone number is (773) 525-1601.

What is Jack Shaw's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

What insurance does Jack Shaw accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Shaw was last updated on May 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.