Search › Idaho › 152W00000X
Kory Shaw, OD
NPI 1750996740 · on the registry since 2020
Practice
- Address
- 844 Shoshone St E
Twin Falls, ID 83301 - Phone
- (208) 734-9800
- Fax
- (208) 734-9433
- Organisation at this address
- Eyecenter Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 110 N 1st Ave, Hailey, ID
- 201 S Lincoln Ave, Jerome, ID
- 180 1st Ave North, Ketchum, ID
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho