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Contact Information

EYELID PLASTIC SURGERY & RECONSTRUCTIVE CENTER, LLC
200 GREENBRIAR BLVD
SUITE B
COVINGTON, LA70433-7235
 Phone: 985-898-2001
 Fax: 985-898-2909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYELID PLASTIC SURGERY & RECONSTRUCTIVE CENTER, LLC

NPI # 1841410230
LBN Legal business name EYELID PLASTIC SURGERY & RECONSTRUCTIVE CENTER, LLC
Authorized official KYLE ACOSTA - (OPHTHALMOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 04/30/2008 - About 18 years ago
Identifiers
LA License # 23847
LA Medicaid 1443000
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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