DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE BENNETT FONTENOT, O.D.

Active Sole Proprietor

DR. SHANE BENNETT FONTENOT, O.D. is a Optometrist healthcare provider located in JENNINGS, Louisiana. NPI 1164612529 is currently active in the NPPES registry. Verify at CMS.

Optometrist · JENNINGS, LA

Registration Details

NPI Number
1164612529
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2007 (19.018926025483 yrs)
Last Updated
Oct 7, 2014
License
1540 (LA)
Sole Proprietor
Yes

Practice Information

Address
1702 JOHNSON ST
JENNINGS, LA, 705463624
Browse LA providers · Browse ZIP 70546
Phone
3378241112
Fax
3378249112
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in JENNINGS, LA

Name Credential NPI
MICHAEL LLOYD ZIEGLER O.D. 1407920341
DR. LINDSAY ROMERO DUGAS O.D. 1780026195
JILLIAN DUHON FRANKLIN OD 1992281406
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.