NPIMap

Organization Active NPI

Roger F. Shaw, III Apmc

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1003009499
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
754-055T Issued in LA
Legal business name
ROGER F. SHAW, III APMC
Practice address
7587 Jefferson Hwy
Baton Rouge, LA 70806-8308
Phone
(225) 923-0909
Fax
(225) 923-0445
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roger Falconer Shaw III, O.D.NPI 1083709760
Title
President
Phone
(225) 923-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 754-055T LA Primary

Addresses

Primary practice location

7587 Jefferson Hwy
Baton Rouge, LA 70806-8308

Mailing address

7587 Jefferson Hwy
Baton Rouge, LA 70806-8308
Phone (225) 923-0909

Other names 1

  • Southern Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

7597 Jefferson Hwy
Baton Rouge, LA 70806
Phone (504) 923-0909

7587 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 923-0909

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1003009499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7587 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068308",
            "telephone_number": "225-923-0909",
            "fax_number": "225-923-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7587 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068308",
            "telephone_number": "225-923-0909",
            "fax_number": "225-923-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER F. SHAW, III APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "FALCONER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-923-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "754-055T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.