Organization
THE LENS SOURCE
Active
Other names
Shenandoah eye clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA SMITH CRAWFORD ABO (MANAGER)
(225) 892-0450
Entity
Organization
Contact information
Practice address
5237 JONES CREEK RD, BATON ROUGE, LA 70817-2124
(225) 755-3937
(225) 755-2272
Mailing address
5237 JONES CREEK RD, BATON ROUGE, LA 70817-2124
(225) 755-3937
(225) 755-2272
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624772
—
LA
Enumeration date
08/17/2012
Last updated
07/21/2022
Update your record
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