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Contact Information

EYECARE SPECIALISTS OF LOUISIANA
1801 FAIRFIELD AVE
SUITE 103
SHREVEPORT, LA71101-4457
 Phone: 318-841-3937
 Fax: 318-841-2505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYECARE SPECIALISTS OF LOUISIANA · (Female)

NPI Number 1407189772
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2009
Last updated 03/13/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 201034
  • LA Medicaid 1071781
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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