Shenandoah Eye Clinic
May also be knows as The Lens Source
Eyewear Supplier in Baton Rouge, LA(View on Map)
Legal Business Name
Shenandoah Eye Clinic
Also Known As
The Lens Source
NPI Number
1497707780
NPI Type
Organization
Enumeration Date
05/16/2006
Specialties
(Taxonomies)Code
332H00000X
152WC0802X
152W00000X
152WS0006X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Louisiana
License Number
LA773206T
Contact
Information
Purpose
Mailing
Location
Address
5237 JONES CREEK ROAD
5237 JONES CREEK ROAD
City
Baton Rouge
Baton Rouge
State
LA
LA
Postal Code
70817-2124
70817-2124
Country
US
US
Telephone Number
(225) 755-3937
(225) 755-3937
Authorized Official
Name
Dr. Edwin Adams
Title or Position
OPTOMETRIST/OWNER/CEO
Telephone Number
(225) 755-3937
Identifiers
Identifier
0699540001
1196519
Identifier State
LA
LA
Identifier Issuer
MEDICARE SUPPLIER #
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2014
Provider Address
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