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Organization
ROGER F. SHAW, III APMC
Active
Organization
ROGER F. SHAW, III APMC
Active
Other names
Southern Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER FALCONER SHAW III O.D. (PRESIDENT)
(225) 923-0909
Entity
Organization
Contact information
Practice address
7587 JEFFERSON HWY, BATON ROUGE, LA 70806-8308
(225) 923-0909
(225) 923-0445
Mailing address
7587 JEFFERSON HWY, BATON ROUGE, LA 70806-8308
(225) 923-0909
(225) 923-0445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
754-055T
LA
Other
Enumeration date
08/20/2007
Last updated
03/18/2008
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