Organization
EYECONIC VIEW EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHONDRA MOORE O.D. (OWNER)
(615) 828-3904
Entity
Organization
Contact information
Practice address
2001 MILLERVILLE RD, BATON ROUGE, LA 70816-1408
(225) 293-7141
(225) 293-2840
Mailing address
2880 CRESTHAVEN AVE, BATON ROUGE, LA 70810-0464
(615) 828-3904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790847218
NPI- DR. LEWIS
—
05
—
1816761
—
LA
Enumeration date
06/06/2021
Last updated
10/25/2023
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