| Mrs Anh V Ta, OD | |
|
64185 Hwy 41 St. B, Pearl River, LA 70452 | |
| (985) 250-8000 | |
| (985) 250-8001 |
| Full Name | Mrs Anh V Ta |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 64185 Hwy 41 St. B, Pearl River, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790263663 | NPI | - | NPPES |
| 1870-805AT | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1870-805AT (Louisiana) | Primary |
| Provider Name | University Medical Center Management Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
| Provider Name | Advanced Eyecare, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104045665 PECOS PAC ID: 1254345366 Enrollment ID: O20141205001697 |
| Provider Name | Artis Beatty A Professional Optometry Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912416355 PECOS PAC ID: 3678831187 Enrollment ID: O20171211000692 |
| Provider Name | Access Health Louisiana |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013584960 PECOS PAC ID: 3678484276 Enrollment ID: O20210903000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Anh V Ta, OD 64185 Hwy 41 St. B, Pearl River, LA 70452 Ph: (985) 250-8000 | Mrs Anh V Ta, OD 64185 Hwy 41 St. B, Pearl River, LA 70452 Ph: (985) 250-8000 |
Ms. Danielle Stasney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 64185 Highway 41 Ste B, Pearl River, LA 70452 Phone: 985-250-8000 Fax: 985-250-8001 |