Shane Bennett Fontenot in Jennings - Optometrist
Shane Bennett Fontenot - NPI 1164612529
Shane Bennett Fontenot is a Optometrist in Jennings, Louisiana. Shane Bennett Fontenot practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shane Bennett Fontenot is 1164612529. The last update date is 2014-10-07.
Shane Bennett Fontenot's current location address is 1702 Johnson St, Jennings, Louisiana. You can contact this provider via phone number 3378241112 and fax number 3378249112. The mailing address for Shane Bennett Fontenot is 1702 Johnson St, Jennings, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Bennett Fontenot |
|---|---|
| Address | 1702 Johnson St, Jennings, Louisiana |
| Phone Number | 3378241112 |
| Fax Number | 3378249112 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1164612529 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2014-10-07 |
Provider Mailing Address Detail
| Address | 1702 Johnson St |
|---|---|
| City | Jennings |
| State | Louisiana (LA) |
| Post Code | 705463624 |
| Phone Number | 3378241112 |
| Fax Number | 3378249112 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1540 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020818 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shane Bennett Fontenot by the Centers for Medicare & Medicaid Services?
The Shane Bennett Fontenot has been issued the NPI (National Provider Identifier) 1164612529, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shane Bennett Fontenot is located?
The Shane Bennett Fontenot is situated at the following address: 1702 Johnson St, Jennings, LA, 705463624.
What is Shane Bennett Fontenot's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane Bennett Fontenot is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did the Shane Bennett Fontenot receive its 1164612529?
The Shane Bennett Fontenot was issued its 1164612529 on 2007-07-31, which is the date when the organization was assigned this unique identifier.
As of what date were the Shane Bennett Fontenot's details last updated?
The information pertaining to the Shane Bennett Fontenot, including its address, specialty, and other details, was most recently updated on 2014-10-07.