All Care Eye Center | |
601 Georgia Ave Bogalusa LA 70427-3909 | |
(985) 732-4900 | |
Not Available |
Full Name | All Care Eye Center |
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Speciality | Clinic/Center |
Location | 601 Georgia Ave, Bogalusa, Louisiana |
Authorized Official Name and Position | Charles A Nassauer (PRESIDENT) |
Authorized Official Contact | 9857324900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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All Care Eye Center 601 Georgia Ave Bogalusa LA 70427-3909 Ph: (985) 732-4900 | All Care Eye Center 601 Georgia Ave Bogalusa LA 70427-3909 Ph: (985) 732-4900 |
NPI Number | 1932349602 |
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Provider Enumeration Date | 02/20/2009 |
Last Update Date | 03/31/2009 |
Medicare PECOS PAC ID | 7810054913 |
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Medicare Enrollment ID | O20090317000145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932349602 | NPI | - | NPPES |
1380873 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 919183T (Louisiana) | Primary |
Provider Name | Charles Nassauer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275677783 PECOS PAC ID: 1456416973 Enrollment ID: I20090217000749 |
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