| |
1500 Northwest Blvd, Franklin, LA 70538-3442 | |
(337) 828-3651 | |
(337) 828-0586 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1500 Northwest Blvd, Franklin, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366575615 | NPI | - | NPPES |
1170534 | Medicaid | LA | |
T19440 | Other | LA | UPIN |
439064365B | Other | LA | COMEAUX BC FKLN |
19040283 | Medicaid | LA | |
434689892B | Other | LA | III BLUE CROSS FKLN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 753-087T (Louisiana) | Primary |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
Provider Name | Milton B Kidd |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902996911 PECOS PAC ID: 4183712573 Enrollment ID: I20100723000654 |
Mailing Address | Practice Location Address |
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1500 Northwest Blvd, Franklin, LA 70538 Ph: (337) 828-3651 | 1500 Northwest Blvd, Franklin, LA 70538-3442 Ph: (337) 828-3651 |
Dr. Milton B Kidd Iii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1500 Northwest Blvd, Franklin, LA 70538 Phone: 337-828-3651 |