Dr. Sean Adams, OD
Optometrist in Shreveport, LA. Individual provider (NPI-1).
NPI number1659018133
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1659018133
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sean Adams
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2022
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1952-888AT | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7607 Youree DrShreveport, LA 71105-5501
Phone 318-212-3937
Mailing address
7607 Youree DrShreveport, LA 71105-5501
Phone 318-212-3937
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