Organization
OPTICAL ZONE LLC
Active
Other names
Eyemagine Optical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER L SHELBY M.D. (OWNER)
(318) 524-2226
Entity
Organization
Contact information
Practice address
7607 YOUREE DR, SHREVEPORT, LA 71105-5501
(318) 524-2226
(318) 524-2228
Mailing address
7607 YOUREE DR, SHREVEPORT, LA 71105-5501
(318) 524-2226
(318) 524-2228
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041998
—
LA
05
—
1578819
—
LA
Enumeration date
05/05/2010
Last updated
02/21/2011
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