| Granger Eye Studio | |
|
107 Centre Sarcelle Blvd. Suite 704 Youngsville LA 70592 | |
| (337) 451-4511 | |
| (337) 857-6044 |
| Full Name | Granger Eye Studio |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Centre Sarcelle Blvd., Youngsville, Louisiana |
| Authorized Official Name and Position | Gary J Granger (OPTOMETRIST, CEO) |
| Authorized Official Contact | 3374514511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Eye Studio 107 Centre Sarcelle Blvd. Suite 704 Youngsville LA 70592 Ph: (337) 451-4511 | Granger Eye Studio 107 Centre Sarcelle Blvd. Suite 704 Youngsville LA 70592 Ph: (337) 451-4511 |
| NPI Number | 1043645666 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 12/16/2014 |
| Medicare PECOS PAC ID | 5193952281 |
|---|---|
| Medicare Enrollment ID | O20131217000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043645666 | NPI | - | NPPES |
| 2167626 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1611-644T (Louisiana) | Primary |
| Provider Name | Gary Joseph Granger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922386564 PECOS PAC ID: 6002087715 Enrollment ID: I20110928000690 |
Edward Lafleur Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 E Milton Ave, Youngsville, LA 70592 Phone: 337-856-6333 Fax: 337-856-6388 | |
Medxcel Occupational Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4401 Chemin Metaire Pkwy, Youngsville, LA 70592 Phone: 337-893-0788 Fax: 337-893-0787 | |
Youngsville Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 E Milton Ave, Suite 8, Youngsville, LA 70592 Phone: 337-857-6657 Fax: 337-857-6658 | |
Edward Lafleur Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 E Milton Ave, Youngsville, LA 70592 Phone: 337-856-6333 Fax: 337-856-6388 | |
Kathryn Strother Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 E Milton Ave, Youngsville, LA 70592 Phone: 337-856-6333 Fax: 337-856-6388 | |
Indira Gautam Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 327 Iberia St, Suite 3a, Youngsville, LA 70592 Phone: 337-857-3512 |