Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 4010 Hwy 80, Haughton, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558622563 | NPI | - | NPPES |
2120069 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1586-619T (Louisiana) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | 1586-619T (Louisiana) | Secondary |
Provider Name | Ashley Bradford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891008603 PECOS PAC ID: 2769679695 Enrollment ID: I20101204000010 |
Provider Name | Rachel Caroline Briggs |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710559448 PECOS PAC ID: 5193120624 Enrollment ID: I20210823000917 |
Mailing Address | Practice Location Address |
---|---|
4010 Hwy 80, Haughton, LA 71037 Ph: (318) 949-6085 | 4010 Hwy 80, Haughton, LA 71037 Ph: (318) 949-6085 |
Dr. Ashley Bradford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4615 Highway 80, Suite #7, Haughton, LA 71037 Phone: 318-949-6085 Fax: 318-949-6084 |