Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 35.127334 | OH |
Y | 207WX0107X | Retina Specialist | 35.127334 | OH |
NPI | 1023336476 |
---|---|
Provider Name | Dr. Shawn Ashwin Lewis |
First Address | Beachwood, OH 44122-5846 |
Second Address | Beachwood, OH 44122-5846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2010 |
Last Update Date | 28/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0149144 | (05) | OH |