Provider Demographics
NPI:1427221654
Name:SHUE, CATHY ELIZABETH (ABO, NCLE)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ELIZABETH
Last Name:SHUE
Suffix:
Gender:F
Credentials:ABO, NCLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 EL DORADO STREET
Mailing Address - Street 2:SUITE F
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3126
Mailing Address - Country:US
Mailing Address - Phone:831-373-4400
Mailing Address - Fax:831-373-4010
Practice Address - Street 1:187 EL DORADO STREET
Practice Address - Street 2:SUITE F
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3126
Practice Address - Country:US
Practice Address - Phone:831-373-4400
Practice Address - Fax:831-373-4010
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD7072156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician