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Contact Information

RETINA & VITREOUS OF LOUISIANA, INC.
10202 JEFFERSON HWY STE D
BATON ROUGE, LA70809-3183
 Phone: 225-768-8833
 Fax: 225-769-4839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RETINA & VITREOUS OF LOUISIANA, INC.

NPI # 1285857607
LBN Legal business name RETINA & VITREOUS OF LOUISIANA, INC.
Authorized official JOHN COUVILLION - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 10/11/2018 - About 8 years ago
Identifiers
LA License # 021851
LA Medicaid 1009113
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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