Organization Active NPI

Bridgette Connorton, OD, LLC

Doing business as Shenandoah Eye Clinic

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1366919375
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRIDGETTE CONNORTON, OD, LLC
Doing business as
Shenandoah Eye Clinic
Practice address
5237 Jones Creek Rd
Baton Rouge, LA 70817-2124
Phone
(225) 755-3937
Fax
(225) 755-2272
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Bridgette Connorton, ODNPI 1487087433
Title
Optometrist
Phone
(225) 755-3937

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 Primary

Addresses

Primary practice location

5237 Jones Creek Rd
Baton Rouge, LA 70817-2124

Mailing address

5237 Jones Creek Rd
Baton Rouge, LA 70817-2124
Phone (225) 755-3937

Other identifiers 1

IdentifierTypeStateIssuer
2371991MedicaidLA

Other names 1

  • Shenandoah Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1366919375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 JONES CREEK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172124",
            "telephone_number": "225-755-3937",
            "fax_number": "225-755-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 JONES CREEK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172124",
            "telephone_number": "225-755-3937",
            "fax_number": "225-755-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETTE CONNORTON, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CONNORTON",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "225-755-3937",
        "authorized_official_credential": "OD"
    },
    "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": "2371991",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Eye Clinic",
            "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 Oct 29, 2018; 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.