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Contact Information

LUSK EYE SPECIALISTS, LLC
451 ASHLEY RIDGE BLVD
SHREVEPORT, LA71106-7229
 Phone: 318-222-5555
 Fax: 318-222-6414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LUSK EYE SPECIALISTS LLC · (Female)

NPI Number 1053405357
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 11/02/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 04501R
  • LA License # 1385-425T
  • LA License # 1407-540T
  • LA License # 841-290T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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