| Iberia Comprehensive Vision Center | |
|
1110 Angers St New Iberia LA 70563-2012 | |
| (337) 364-0425 | |
| Not Available |
| Full Name | Iberia Comprehensive Vision Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 Angers St, New Iberia, Louisiana |
| Authorized Official Name and Position | Darnell Ann Boudreaux (DIRECTOR OF HEALTH INFORMATION) |
| Authorized Official Contact | 3373654945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iberia Comprehensive Vision Center 806 Jefferson Ter New Iberia LA 70560-5727 Ph: (337) 365-4945 | Iberia Comprehensive Vision Center 1110 Angers St New Iberia LA 70563-2012 Ph: (337) 364-0425 |
| NPI Number | 1831877653 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 6204817828 |
|---|---|
| Medicare Enrollment ID | O20231016000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831877653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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