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

MS. Jack Ching Shaw, OPTICIAN

Individual provider Technician/Technologist · NPI 1104947316

MS. Jack Ching Shaw, OPTICIAN is a Technician/Technologist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2906 N Broadway St
Chicago, IL 60657-7163
Phone: (773) 525-1601
Fax: (773) 435-4210
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1104947316
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESMay 5, 2015

Other providers in Chicago