OPTICAL ZONE LLC (NPI# 1972821650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972821650 |
| Entity Type | Organization |
| Organization Name | OPTICAL ZONE LLC |
| Other Organization Name | EYEMAGINE OPTICAL LLC |
| Practice Address |
7607 Youree Dr Shreveport LA 71105-5501 |
| Practice Telephone | 3185242226 |
| Practice Fax Number | 3185242228 |
| Mailing Telephone | 3185242226 |
| Mailing Fax Number | 3185242228 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2011-02-21 |
| Authorized Official Name | DR. CHRISTOPHER L SHELBY (OWNER) |
| Authorized Official Telephone | 3185242226 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1578819 | 05 | |
| LA | 1041998 | 05 |
| Other Name | Type Code |
|---|---|
| Eyemagine Optical LLC | Former Legal Business Name - Organization |
| Street Address |
7607 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689932899 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 7451 Youree Dr, Shreveport, LA 71105-5535 | 2012-04-25 |
| 1518284488 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3601 S Eastern Ave, St Vincent Mall, Shreveport, LA 71104-4123 | 2010-04-30 |
| 1679769517 | Tri State Optical Co Inc | Eyewear Supplier (Equipment, not the service) | 1014 Creswell St, Tri State Optical, Shreveport, LA 71101 | 2007-09-24 |
| 1902949654 | Vision One | Eyewear Supplier (Equipment, not the service) | 1133 St. Vincent Ave #216, Suite 120 Mall St. Vincent, Shreveport, LA 71104-4147 | 2007-02-14 |
| 1275670606 | Duncan Optical Dispensary Inc | Eyewear Supplier (Equipment, not the service) | 4843 Line Avenue, Shreveport, LA 71106-1529 | 2007-02-01 |
| 1346332236 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 1133 St. Vincent Avenue, Shreveport, LA 71104 | 2006-09-28 |
| 1497846554 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3601 Sern Ave, St Vincent Mall, Shreveport, LA 71104-4123 | 2006-09-27 |
| 1689043051 | Affinity Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2015-09-16 |
| 1053719005 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7020 Youree Dr, Suite A, Shreveport, LA 71105-5109 | 2014-12-08 |
| 1225301203 | Optical Zone, LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2012-02-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on OPTICAL ZONE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.