| Louisiana Center For Eyes, Llc | |
|
7855 Howell Place Blvd Suite 130a Baton Rouge LA 70807-5256 | |
| (225) 356-2655 | |
| (225) 356-2358 |
| Full Name | Louisiana Center For Eyes, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7855 Howell Place Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Carola B. Okogbaa (OPHTHALMOLOGIST) |
| Authorized Official Contact | 5042320138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Center For Eyes, Llc 7855 Howell Place Blvd Suite 130a Baton Rouge LA 70807-5256 Ph: (225) 356-2655 | Louisiana Center For Eyes, Llc 7855 Howell Place Blvd Suite 130a Baton Rouge LA 70807-5256 Ph: (225) 356-2655 |
| NPI Number | 1558795724 |
|---|---|
| Provider Enumeration Date | 08/24/2013 |
| Last Update Date | 08/24/2013 |
| Medicare PECOS PAC ID | 5799911400 |
|---|---|
| Medicare Enrollment ID | O20131127001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558795724 | NPI | - | NPPES |
| 1500135 | Medicaid | LA | |
| 4P629DP77 | Other | LA | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 201426 (Louisiana) | Primary |
| Provider Name | Carola B Okogbaa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295919991 PECOS PAC ID: 4486841129 Enrollment ID: I20101208000068 |
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