Southern Eye Centers | |
23855 Eden St, Plaquemine, LA 70764-3315 | |
(225) 687-2026 | |
(225) 687-2000 |
Full Name | Southern Eye Centers |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 23855 Eden St, Plaquemine, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740472794 | NPI | - | NPPES |
1151955 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 754-055T (Louisiana) | Primary |
Provider Name | Roger F Shaw |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083709760 PECOS PAC ID: 9537239140 Enrollment ID: I20080609000013 |
Provider Name | Ann H Shaw |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164673505 PECOS PAC ID: 5698818177 Enrollment ID: I20100205000319 |
Provider Name | Adam G Pickle |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770037053 PECOS PAC ID: 2769760289 Enrollment ID: I20161103000168 |
Mailing Address | Practice Location Address |
---|---|
Southern Eye Centers 23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-2026 | Southern Eye Centers 23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-2026 |
Roger F Shaw Iii, OD Optometrist Medicare: Medicare Enrolled Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-4190 Fax: 225-687-2000 | |
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 | |
Dr. Adam Pickle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 |