Provider Demographics
NPI:1407824261
Name:SHAFF, DAVID L (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:SHAFF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 W COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-2276
Mailing Address - Country:US
Mailing Address - Phone:585-586-6882
Mailing Address - Fax:
Practice Address - Street 1:533 W COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2276
Practice Address - Country:US
Practice Address - Phone:585-586-6882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003038152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
161168030OtherUNITED HEALTH CARE
00091163900OtherHEALTH NOW
161168030OtherEMPIRE UHC EMPIRE
NY101433CSOtherPREFERRED CARE
161168030OtherSIDNEY HILLMAN
161168030OtherWORKERS COMP
NYP010003038OtherBLUE CHOICE
161168030OtherDOCTORS HEALTH PLAN POMCO
P010003038OtherMONROE PLAN BL CH OPT CHI
161168030OtherTRICARE
P010003038OtherBCBS EXCELLUS
161168030OtherGHI GROUP HEALTH INCORPOR
7700447OtherMVP SELECT CARE
410043022OtherRAILROAD MEDICARE
101933CSOtherPREFERRED CARE OPTION
161168030OtherGHI GROUP HEALTH INCORPOR
P010003038OtherBCBS EXCELLUS