Mary Shenouda

M.D. | Ophthalmologist | 23+ years Exp


  
1615 Sw Main Blvd, Lake City
Florida, 32025-1108

 386-755-2785     386-755-1128Maps & Directions
Mary Shenouda is a Lake City, Florida based female Ophthalmologist with 23 years of experience in Ophthalmology. She completed her graduation from Loyola University Of Chicago, Stritch School Of Medicine in 2001. She is also affiliated with hospitals like Promedica Defiance Regional Hospital. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary Shenouda is ME165007 for Ophthalmology in Florida.
Mary Shenouda is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.


Complete Profile:
Mary Shenouda speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Ophthalmology
Credentials: M.D.
Experience: 23+ years
Medical School Attended:Loyola University Of Chicago, Stritch School Of Medicine
Graduation Year:2001
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:1615 Sw Main Blvd, Lake City,
Florida, 32025-1108
Phone:386-755-2785
Fax:386-755-1128
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8325093164
Enrollment ID: I20061213000267
NPI Number: 1104801976
NPI Enumeration Date: 14 Dec, 2005
NPI Last Update On: 14 Dec, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Shenouda are as mentioned below.
License NumberSpecializationStateStatus
ME165007Ophthalmology FloridaPrimary
01060074AOphthalmology IndianaSecondary
88852Ophthalmology OhioSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Promedica Defiance Regional Hospital (361328)Defiance, OHCritical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Mary Shenouda has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Promedica Central Physicians Llc (2365348190)883
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Shenouda such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2713460MedicaidOhio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 489,
Lake City, Florida
Zip: 32056-0489
Phone Number: 386-755-2785
Fax Number: --
Patients can reach Mary Shenouda at 1615 Sw Main Blvd, Lake City, Florida or can call to book an appointment on 386-755-2785. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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