Organization Active NPI

The Lens Source

  • Eyewear Supplier
  • Baton Rouge, LA
National Provider Identifier
1750639043
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE LENS SOURCE
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
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Sheila Smith Crawford, ABO
Title
Manager
Phone
(225) 892-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X LA 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
1624772MedicaidLA

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750639043",
    "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": "THE LENS SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-892-0450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624772",
            "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 Jul 21, 2022; 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.