Mary Shenouda
M.D. | Ophthalmologist | 25+ years Exp
Medicare Enrolled 1615 Sw Main Blvd, Lake City
Florida, 32025-1108
386-755-2785 386-755-1128
Maps & DirectionsMary Shenouda is a Lake City, Florida based Ophthalmologist with 25 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 has the knowledge and professional skills needed to provide comprehensive eye and vision care. She 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, an ophthalmologist prescribes 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: | 25+ 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 Number | Specialization | State | Status | |
| ME165007 | Ophthalmology | Florida | Primary | |
| 01060074A | Ophthalmology | Indiana | Secondary | |
| 88852 | Ophthalmology | Ohio | Secondary | |
Hospital Affiliation:
Doctors can be 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, OH | Critical 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.
| Identifier | Type | State | Issuer |
| 2713460 | Medicaid | Ohio | |
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 |
Patients can reach Mary Shenouda at
1615 Sw Main Blvd, Lake City, Florida or can
call to book an appointment on 386-755-2785.
Comments/ Reviews:
Patients can read all the reviews posted for Mary Shenouda below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mary Shenouda. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.