Provider Demographics
NPI:1689550667
Name:SAWYER, SHIANN FAYE (OPTICIAN)
Entity type:Individual
Prefix:
First Name:SHIANN
Middle Name:FAYE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1977 VAN AUKEN RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-9220
Mailing Address - Country:US
Mailing Address - Phone:315-571-4549
Mailing Address - Fax:
Practice Address - Street 1:4238 RECREATION DR
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-2235
Practice Address - Country:US
Practice Address - Phone:585-393-0510
Practice Address - Fax:585-393-1974
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010645-01156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician