| Advanced Family Eyecare | |
|
1702 Johnson St, Jennings, LA 70546-3624 | |
| (337) 824-1112 | |
| (337) 824-9112 |
| Full Name | Advanced Family Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1702 Johnson St, Jennings, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121652 | NPI | - | NPPES |
| 1020818 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1540 (Louisiana) | Primary |
| Provider Name | Shane B Fontenot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164612529 PECOS PAC ID: 5395838908 Enrollment ID: I20070912000232 |
| Provider Name | Lindsay C Dugas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780026195 PECOS PAC ID: 2062646615 Enrollment ID: I20131014001703 |
| Provider Name | Hannah L Eastman Fawcett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376985507 PECOS PAC ID: 5890921365 Enrollment ID: I20131112001449 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Eyecare 1702 Johnson St, Jennings, LA 70546-3624 Ph: (337) 824-1112 | Advanced Family Eyecare 1702 Johnson St, Jennings, LA 70546-3624 Ph: (337) 824-1112 |
Dr. Shane Bennett Fontenot, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1702 Johnson St, Jennings, LA 70546 Phone: 337-824-1112 Fax: 337-824-9112 | |
Acadian Eye Care & Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 418 N Main St, Jennings, LA 70546 Phone: 337-824-3937 Fax: 337-824-1050 | |
Michael Lloyd Ziegler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 303 E Interstate Dr, Jennings, LA 70546 Phone: 337-824-5754 | |
Dr. Mason Douglas Mccain, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1702 Johnson St, Jennings, LA 70546 Phone: 256-586-9119 | |
Optics Unlimited Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1219 Elton Rd, Jennings, LA 70546 Phone: 337-478-3810 Fax: 337-478-6360 | |
Michael Lloyd Ziegler Inc Apoc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 303 E Interstate Dr, Jennings, LA 70546 Phone: 337-824-5754 |