Dr Frederick Randall Kirchner, MD | |
471 Ashley Ridge Blvd., Shreveport, LA 71106 | |
(318) 795-4770 | |
(318) 795-4775 |
Full Name | Dr Frederick Randall Kirchner |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 471 Ashley Ridge Blvd., Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245259571 | NPI | - | NPPES |
075555501 | Other | TX | TEXAS MEDICAID NUMBER |
1053315846 | Other | LA | GROUP NPI NUMBER |
1148300 | Medicaid | LA | |
610748600 | Other | AR | ARKANSAS MEDICAID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 010890 (Louisiana) | Primary |
Entity Name | Shreveport Eye Clinic A Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518991504 PECOS PAC ID: 9830151117 Enrollment ID: O20041029000061 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick Randall Kirchner, MD 471 Ashley Ridge Blvd., Shreveport, LA 71106 Ph: (318) 795-4770 | Dr Frederick Randall Kirchner, MD 471 Ashley Ridge Blvd., Shreveport, LA 71106 Ph: (318) 795-4770 |
Donald E Texada, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-861-4009 Fax: 318-861-4080 | |
Claude Youngblood Bundrick Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Mary Ellen Berg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 |