| |
446 Corporate Dr, Houma, LA 70360 | |
(985) 872-5577 | |
(985) 868-4190 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 446 Corporate Dr, Houma, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912980566 | NPI | - | NPPES |
1799718 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1412-554T (Louisiana) | Secondary |
207W00000X | Ophthalmology | 022479 (Louisiana) | Primary |
207W00000X | Ophthalmology | 011081 (Louisiana) | Secondary |
Mailing Address | Practice Location Address |
---|---|
446 Corporate Dr, Houma, LA 70360 Ph: (985) 872-5577 | 446 Corporate Dr, Houma, LA 70360 Ph: (985) 872-5577 |