Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104947316 Individual Practitioner Male Practitioner

Jack Ching Shaw , OPTICIAN

Technician/Technologist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Jack Shaw, OPTICIAN is a registered healthcare professional specializing in Technician/Technologist in Chicago, IL. Practice services are available at 2906 N BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2906 N Broadway St

Chicago, IL 606577163

Telephone 7735251601
Fax 7734354210
Associated Practice Facility / Clinic
🏢 Jack Shaw Superior Eye Care Facility NPI 1104040328

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Chicago, IL (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1487806923

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2015

Registered at 2906 N BROADWAY ST, CHICAGO, IL 606577163 (Tel: 7735251601)

📍
Updated Business Mailing Address May 05, 2015

Registered at 2906 N BROADWAY ST, CHICAGO, IL 606577163 (Tel: 7735251601)

👤
Provider Name / Credentials Updated May 05, 2015

Recorded as JACK SHAW, OPTICIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2015

Technician/Technologist

🟢
Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104947316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: May 05, 2015
Sole Proprietor: Yes

Mailing Address

2906 N Broadway St

Chicago, IL 606577163

Phone: 7735251601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.