Frederick Shaw, OD P C
NPI 1750590980 · Optometrist · Kennesaw, GA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Frederick Shaw, OD P C is a Optometrist provider in Kennesaw, GA (NPI 1750590980).
Provider details
- NPI number
- 1750590980
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD P C
- Sex
- Male
- Sole proprietor
- No
- License
- 1535 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2017-07-17
Frequently asked questions
- What is Frederick Shaw's NPI number?
- Frederick Shaw's National Provider Identifier (NPI) is 1750590980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Shaw's specialty?
- Frederick Shaw is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Frederick Shaw located?
- Frederick Shaw's practice location on file with NPPES is 645 Ernest Barrett Pkwy, Kennesaw, GA 30144.
- What is Frederick Shaw's phone number?
- The practice phone number listed in the NPPES registry for Frederick Shaw is (770) 420-2268.
- Does Frederick Shaw accept Medicare?
- Frederick Shaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Frederick Shaw's NPI active?
- Yes — Frederick Shaw's NPI (1750590980) is active in the NPPES registry as of the last update on 2017-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.