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Contact Information

BOSSIER EYE INSTITUTE LLC
2300 HOSPITAL DR
SUITE 140
BOSSIER CITY, LA71111-2394
 Phone: 318-746-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BOSSIER EYE INSTITUTE LLC

NPI # 1104947589
LBN Legal business name BOSSIER EYE INSTITUTE LLC
Authorized official WALLY NAWAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 03/30/2009 - About 17 years ago
Identifiers
LA License # 024997
LA Medicaid 1423351
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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