Roger F Shaw Iii, OD | |
23855 Eden St, Plaquemine, LA 70764-3315 | |
(225) 687-4190 | |
(225) 687-2000 |
Full Name | Roger F Shaw Iii |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 23855 Eden St, Plaquemine, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083709760 | NPI | - | NPPES |
1151955 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 754-055T (Louisiana) | Primary |
Provider Name | Roger F Shaw Iii Apoc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740472794 PECOS PAC ID: 6305741638 Enrollment ID: O20040506000294 |
Mailing Address | Practice Location Address |
---|---|
Roger F Shaw Iii, OD 23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-4190 | Roger F Shaw Iii, OD 23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-4190 |
Dr. Ann Hardin Shaw, OD, MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 Fax: 225-687-2000 | |
Southern Eye Centers Optometrist Medicare: Medicare Enrolled Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 Fax: 225-687-2000 | |
Dr. Adam Pickle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 |