Active NPI
The Lens Source
- Eyewear Supplier
- Baton Rouge, LA
National Provider Identifier
1750639043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624772 | Medicaid | LA |
Other names 1
- Shenandoah eye clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Gonzales, LA
- NPI 1437155793
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.