Organization Active NPI

Optical Zone LLC

  • Eyewear Supplier
  • Shreveport, LA
National Provider Identifier
1972821650
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL ZONE LLC
Practice address
7607 Youree Dr
Shreveport, LA 71105-5501
Phone
(318) 524-2226
Fax
(318) 524-2228
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Dr. Christopher L Shelby, M.D.
Title
Owner
Phone
(318) 524-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

7607 Youree Dr
Shreveport, LA 71105-5501

Mailing address

7607 Youree Dr
Shreveport, LA 71105-5501
Phone (318) 524-2226

Other identifiers 2

IdentifierTypeStateIssuer
1041998MedicaidLA
1578819MedicaidLA

Other names 1

  • Eyemagine Optical LLC Former legal business name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1972821650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055501",
            "telephone_number": "318-524-2226",
            "fax_number": "318-524-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055501",
            "telephone_number": "318-524-2226",
            "fax_number": "318-524-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ZONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-524-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041998",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578819",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyemagine Optical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.