Eyeconic View Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECONIC VIEW EYECARE LLC

Practice address

2001 Millerville Rd
Baton Rouge, LA 70816-1408

Phone

(225) 293-7141

Fax

(225) 293-2840

NPI assigned

Jun 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shondra Moore, O.D.NPI 1275866683

Title

Owner

Phone

(615) 828-3904

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Shondra Moore, O.D.

  • Optometrist
  • Baton Rouge, LA
  • NPI 1275866683
  NPD Authorized official

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1023685435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 CRESTHAVEN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100464",
            "telephone_number": "615-828-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MILLERVILLE RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161408",
            "telephone_number": "225-293-7141",
            "fax_number": "225-293-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECONIC VIEW EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-06",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-828-3904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1816761",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- DR. LEWIS",
            "identifier": "1790847218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.