| Roger F Shaw Iii, OD | |
|
23855 Eden St, Plaquemine, LA 70764-3315 | |
| (225) 687-4190 | |
| (225) 687-2000 |
| Full Name | Roger F Shaw Iii |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 23855 Eden St, Plaquemine, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083709760 | NPI | - | NPPES |
| 1151955 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 754-055T (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roger F Shaw Iii, OD 23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-4190 | Roger F Shaw Iii, OD 23855 Eden St, Plaquemine, LA 70764-3315 Ph: (225) 687-4190 |
Dr. Ann Hardin Shaw, OD, MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 Fax: 225-687-2000 | |
Roger F Shaw Iii A Professional Optometry Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 Fax: 225-687-2000 | |
Dr. Adam Pickle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23855 Eden St, Plaquemine, LA 70764 Phone: 225-687-2026 |