| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANN HARDIN SHAW | 1164673505 | 2024-11-08 |
Ann H Shaw [F] graduated in 2008 from Southern College Of Optometry and primarily specializes in Optometry.
Ann Hardin Shaw is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164673505. Registration indicates Ann Hardin Shaw is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| PECOS ID | 5698818177 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Ann Hardin Shaw OD, MS |
| Practice Office Address | 23855 EDEN ST PLAQUEMINE, LA US |
| Practice Office Telephone | 2256872026 |
| Practice Office Fax | 2256872000 |
| Mailing Address | 2262 MYRTLEDALE AVE BATON ROUGE, LA 708082878 US |
| Business Telephone | 2253793529 |
| Business Fax | 2256872000 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 1555-587T
LA |