LAWRENCE A SHINNEMAN


Address: 4121 S. Michigan Street, South Bend, IN 46614-2545
Phone: 5742919200

LAWRENCE A SHINNEMAN (NPI# 1306813464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306813464
Entity Type Individual
Full Name LAWRENCE A SHINNEMAN
Credential O.D.
Practice Address 4121 S. Michigan Street
South Bend
IN 46614-2545
Practice Telephone 5742919200
Practice Fax Number 5742994423
Mailing Telephone 5742919200
Mailing Fax Number 5742994423
Enumeration Date 2006-03-07
Last Update Date 2012-04-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 18002288 IN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200305600 05

Office Location

Street Address 4121 S. MICHIGAN STREET
City SOUTH BEND
State IN
Zip Code 46614-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447516604 Eyecare Indiana Ll, PC Optometrist 4121 S. Michigan Street, South Bend, IN 46614-2545 2012-04-02
1710269550 Douglas Eric Widmer Optometrist 4121 S. Michigan Street, South Bend, IN 46614-2545 2011-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417574013 Hellen Gathesha Nurse Practitioner 2123 W Irvington Dr, South Bend, IN 46614 2020-06-30
1033759394 Diane Galvas Pharmacist 1217 E. Ireland Rd., South Bend, IN 46614 2020-01-14
1730668690 Julenne Henriquez-gil Physical Therapist 202 W Ireland Rd Ste 101a, South Bend, IN 46614 2018-08-11
1467747014 Deidre A Coffey Nurse Practitioner 1025 Widener Ln, South Bend, IN 46614 2011-06-12
1588727655 Wal-mart Stores East, Lp Technician/Technologist 700 W. Ireland Rd., South Bend, IN 46614 2006-12-19
1437262847 Lori F Risser Dentist 734 E Ireland Rd, South Bend, IN 46614 2006-08-17
1912388018 Laura Ellen Albright Family Medicine 2102 E Inwood Rd, South Bend, IN 46614 2015-06-15
1245626225 Kathleen Kelley Dermatology 1815 E Ireland Rd, South Bend, IN 46614 2015-04-07
1073869806 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 1950 Ridgedale Rd, South Bend, IN 46614 2012-07-30
1326300666 Kristine Marie Jones Optometrist 700 W Ireland Rd, South Bend, IN 46614 2012-06-12
Find all providers in zip 46614

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104312552 Myeyedr Optometry of Indiana, LLC Optometrist 315 W Ireland Rd # 103, South Bend, IN 46614-3802 2018-07-09
1831649706 Ossip Optometry, PC Optometrist 315 W Ireland Rd, Unit 103, South Bend, IN 46614-3802 2016-10-04
1275848962 Charles Mikel Craig Optometrist 220 N. Ironwood Dr., South Bend, IN 46615 2010-08-18
1902944325 Family Eye Care of South Bend Optometrist 220 North Ironwood, South Bend, IN 46615-1623 2007-02-01
1700971686 Professional Vision Inc Optometrist 4630 W Western Ave, South Bend, IN 46619-2304 2006-10-04
1972520906 Ossip Optometry, P.c Optometrist 4121 S Michigan St, South Bend, IN 46614-2545 2006-07-16
1023069283 Christopher J. Wolf, Od, Inc Optometrist 4123 S Michigan St, South Bend, IN 46614-2545 2006-05-13
1740241975 Bob H Graf Optometrist 2004 Edison Rd Ste A, South Bend, IN 46617-1712 2006-03-29
1740258441 Ronald Lee Snyder Optometrist 17615 State Rd 23, South Bend, IN 46635 2006-03-09
1316935208 Michael John Rotheker Optometrist 17615 State Road 23, South Bend, IN 46635 2005-10-13
Find all providers in SOUTH BEND

Competitor

Search similar providers

City SOUTH BEND
Zip Code 46614

Improve Information

Please comment or provide details below to improve the information on LAWRENCE A SHINNEMAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches