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LAWRENCE A SHINNEMAN O.D.
NPI 1306813464
Optometrist in South Bend, IN

Active since March 07, 2006
4121 S. MICHIGAN STREET, SOUTH BEND, IN 46614(574) 291-9200(574) 299-4423 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lawrence A Shinneman O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE A SHINNEMAN O.D. (NPI 1306813464) is an individual optometrist in South Bend, Indiana, licensed in Indiana (18002288) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1306813464
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLAWRENCE A SHINNEMANCredential: O.D.
Location Address4121 S. MICHIGAN STREETSouth Bend, IN 46614-2545
Mailing Address4121 S. Michigan StreetSouth Bend, IN 46614-2545 · (574) 291-9200 · Fax (574) 299-4423
Phone(574) 291-9200
Fax(574) 299-4423
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateApril 3, 2012
✔ NPI 1306813464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002288
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.
4121 S. MICHIGAN STREET, South Bend, IN 46614
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Other Identifiers 3

Medicare ID-Type Unspecified171140IN
Medicaid200305600IN
Medicare UPINU41969

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYECARE INDIANA LL, PC
Optometrist
4121 S. MICHIGAN STREET
SOUTH BEND, IN 46614
St. Joseph County (574) 291-9200
DR. DOUGLAS ERIC WIDMER O.D.
Optometrist
4121 S. MICHIGAN STREET
SOUTH BEND, IN 46614
St. Joseph County (574) 291-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Shinneman's NPI number?

The NPI number for Lawrence Shinneman is 1306813464. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Lawrence Shinneman located?

Lawrence Shinneman practices at 4121 S. Michigan Street, South Bend, IN 46614. The listed phone number is (574) 291-9200.

What is Lawrence Shinneman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Lawrence Shinneman was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.