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SHENANDOAH EYE CLINIC

Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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Contact Information

SHENANDOAH EYE CLINIC
5237 JONES CREEK ROAD
BATON ROUGE, LA  70817-2124
 Phone: 225-755-3937
 Fax: 225-755-2272
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

 332H00000X 87 All Other Suppliers
 

Corneal and Contact Management

 152WC0802X 41 Optometry
 

Optometrist

 152W00000X 41 Optometry
 

Sports Vision

 152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHENANDOAH EYE CLINIC

NPI Number 1497707780
LBN Legal business name SHENANDOAH EYE CLINIC
Authorized official EDWIN ADAMS - (OPTOMETRIST/OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 07/09/2014 - About 12 years ago
Identifiers
LA License # LA773206T
LA Medicaid 1196519
LA Other 0699540001 MEDICARE SUPPLIER #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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