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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

NPI Number 1407189772
LBN Legal business name EYECARE SPECIALISTS OF LOUISIANA
Authorized official JOHN CARMODY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2009
Last updated 03/13/2012 - About 14 years ago
Identifiers
LA License # 201034
LA Medicaid 1071781
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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