| |
23855 Eden St, Plaquemine, LA 70764-3315 | |
(225) 687-2026 | |
(225) 687-2000 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 23855 Eden St, Plaquemine, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740472794 | NPI | - | NPPES |
1151955 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 754-055T (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-2026 | 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 |