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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