Shenandoah Eye Clinic is a
Eyewear Supplier based in Baton Rouge, Louisiana. Shenandoah Eye Clinic is licensed to practice in Louisiana (license number LA773206T) and their current practice location is
5237 Jones Creek Road, Baton Rouge, Louisiana. It can be reached at their office (for appointments etc.) via phone at
(225) 755-3937.
NPI number for Shenandoah Eye Clinic is 1497707780 and their current mailing address is 5237 Jones Creek Road, Baton Rouge, Louisiana. Shenandoah Eye Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497707780.
Healthcare Provider's Profile
Full Name | Shenandoah Eye Clinic |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 5237 Jones Creek Road, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497707780
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 07/09/2014
Medical Identifiers
Medical identifiers for Shenandoah Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497707780 | NPI | - | NPPES |
0699540001 | Other | LA | MEDICARE SUPPLIER # |
1196519 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
152WS0006X | Optometrist - Sports Vision | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | LA773206T (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shenandoah Eye Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shenandoah Eye Clinic 5237 Jones Creek Road, Baton Rouge, LA 70817-2124 Ph: (225) 755-3937 | Shenandoah Eye Clinic 5237 Jones Creek Road, Baton Rouge, LA 70817-2124 Ph: (225) 755-3937 |
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