The Lens Source
LBN: Shenandoah Eye Clinic
The Lens Source is an health care organization with primary practice located at 5237 Jones Creek Road , Baton Rouge LA 70817-2124. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Shenandoah Eye Clinic can be contacted via phone (225) 755-3937, or through Adams, Edwin F via phone (225) 755-3937.
Contact Information
Primary practice address
5237 Jones Creek Road
Baton Rouge LA 70817-2124
Phone: (225) 755-3937
Fax: (225) 755-2272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | LA773206T | Louisiana |
Profile Details
| NPI number | 1497707780 |
|---|---|
| LBN Legal business name | Shenandoah Eye Clinic |
| DBA Doing business as | The Lens Source |
| Authorized official | Adams, Edwin F Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 9th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497707780 | NPPES |
| Louisiana | Other | 0699540001 | MEDICARE SUPPLIER # |
| Louisiana | MEDICAID | 1196519 | MEDICARE SUPPLIER # |
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