Dr Bradley C Black, MD | |
5220 Flanders Dr, Baton Rouge, LA 70808-9157 | |
(225) 766-3437 | |
(225) 766-3443 |
Full Name | Dr Bradley C Black |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 5220 Flanders Dr, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861541575 | NPI | - | NPPES |
1323471 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 011988 (Louisiana) | Primary |
Entity Name | Pediatric Eye Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548487846 PECOS PAC ID: 4385724558 Enrollment ID: O20071231000510 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley C Black, MD 5220 Flanders Dr, Baton Rouge, LA 70808-9157 Ph: (225) 766-3437 | Dr Bradley C Black, MD 5220 Flanders Dr, Baton Rouge, LA 70808-9157 Ph: (225) 766-3437 |
Dr. Allen Roy Pearce, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 4000, Baton Rouge, LA 70808 Phone: 225-766-7441 Fax: 225-766-7597 | |
Donald R Peavy, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4848 North Blvd, Baton Rouge, LA 70806 Phone: 225-927-0180 Fax: 225-926-3803 | |
Dr. Andrew C Black, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5220 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-766-3437 Fax: 225-766-3443 | |
Dr. Crayton Fargason, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd, Suite 4000, Baton Rouge, LA 70808 Phone: 225-766-7441 Fax: 225-766-7597 | |
Robert A Holloway Jr., M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 4848 North Blvd, Baton Rouge, LA 70806 Phone: 225-927-0180 Fax: 225-926-3803 | |
Jamie L Hatcher, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8585 Picardy Ave, Suite 510, Baton Rouge, LA 70809 Phone: 225-218-6387 Fax: 225-478-9215 | |
Barbara Ann Noguchi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10202 Jefferson Hwy, Bldg D, Baton Rouge, LA 70809 Phone: 225-768-8833 Fax: 225-769-4839 |