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Whitney Shaw, O.D.

Optometrist in Middleburg Heights, OH. Individual provider (NPI-1).

NPI number1356790414
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1356790414
Entity type
Individual (NPI-1)
Name
Whitney Shaw
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2016
Last updated
Feb 21, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT.6502OHYes

Practice location

6835 Pearl Rd
Middleburg Heights, OH 44130-3616

Phone 440-884-4725 · Fax 440-884-4752

Mailing address

118 Cass Ave
Mount Clemens, MI 48043-2204

Phone 586-464-1479 · Fax 586-464-1480

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Middleburg Heights, OH

All 8 Optometrist providers in Middleburg Heights · All 865 providers in Middleburg Heights

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