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THE LENS SOURCE NPI 1750639043


NPI Information

NPI: 1750639043
Provider Name: THE LENS SOURCE

Doing Business As: SHENANDOAH EYE CLINIC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
5237 JONES CREEK RD
BATON ROUGE, LA
ZIP 70817
Phone: (225) 755-3937
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THE LENS SOURCE is an eyewear supplier in Baton Rouge, LA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. THE LENS SOURCE NPI is 1750639043. The provider is registered as an organization entity type.
The provider Is Doing Business As Shenandoah Eye Clinic.

The provider's business location address is:

5237 JONES CREEK RD
BATON ROUGE, LA
ZIP 70817-124
Phone: (225) 755-3937
Fax: (225) 755-2272

The provider's authorized official is Sheila Smith Crawford .
The authorized official title is Manager and has the following contact phone number (225) 892-0450.

The enumeration date for this NPI number is 8/17/2012 and was last updated on 8/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier=========LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11624772MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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