Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick C. Shaw & Associates

Organization Optometrist · NPI 1053820399

Frederick C. Shaw & Associates is an Optometrist in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

645 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-4922
Phone: (770) 420-2268
Fax: (770) 825-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1535 (GA)

Record details

NPI number1053820399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Freda Thomas — Billing Manager · (770) 722-2344
NPI enumeratedSeptember 28, 2017
Last updated in NPPESSeptember 28, 2017
Mailing address645 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4922

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