Dr. Shane Bennett Fontenot is a Jennings, Louisiana based male Optometrist with 17 years of experience in Optometry. He completed his graduation from Other in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Shane Bennett Fontenot is 1540 for Optometry in Louisiana. Dr. Shane Bennett Fontenot examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Shane Bennett Fontenot 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:
Optometry
Credentials:
O.D.
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1702 Johnson St, Jennings, Louisiana, 70546-3624
Phone:
337-824-1112
Fax:
337-824-9112
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:
5395838908
Enrollment ID:
I20070912000232
NPI Number:
1164612529
NPI Enumeration Date:
31 Jul, 2007
NPI Last Update On:
07 Oct, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shane Bennett Fontenot are as mentioned below.
License Number
Specialization
State
Status
1540
Optometry
Louisiana
Primary
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 Dr. Shane Bennett Fontenot has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Advanced Family Eyecare, Llc (1658464268)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shane Bennett Fontenot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1020818
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1702 Johnson St, Jennings, Louisiana
Zip:
70546-3624
Phone Number:
337-824-1112
Fax Number:
337-824-9112
Patients can reach Dr. Shane Bennett Fontenot at 1702 Johnson St, Jennings, Louisiana or can call to book an appointment on 337-824-1112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.