Individual provider · Type 1 NPI

Mary Shenouda, MD

Ophthalmology Physician · Lake City, FL

NPI number 1104801976 Active

Practice location

1615 SW Main Blvd
Lake City, FL 32025-1108

Call (386) 755-2785 Map

Fax (386) 755-1128

Mailing address

PO Box 489
Lake City, FL 32056-0489

Other practice locations

  • 1252 Ralston Ave Ste 400, Defiance, OH 43512-1480 · (419) 782-6588

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X01060074A (IN)
Ophthalmology Physician 207W00000X88852 (OH)
Ophthalmology Physician Primary 207W00000XME165007 (FL)

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are 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,…

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About NPI 1104801976

Mary Shenouda, MD's National Provider Identifier is 1104801976, issued on Dec 14, 2005. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Lake City, FL. The record was last updated on Dec 14, 2023.