| St. Tammany Eye Care Llc | |
|
1107 Village Walk Covington LA 70433-4006 | |
| (985) 231-0800 | |
| (985) 590-3721 |
| Full Name | St. Tammany Eye Care Llc |
|---|---|
| Speciality | Optometrist |
| Location | 1107 Village Walk, Covington, Louisiana |
| Authorized Official Name and Position | Amanda N Hickman (OWNER) |
| Authorized Official Contact | 9852310800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Tammany Eye Care Llc 1107 Village Walk Covington LA 70433-4006 Ph: (985) 231-0800 | St. Tammany Eye Care Llc 1107 Village Walk Covington LA 70433-4006 Ph: (985) 231-0800 |
| NPI Number | 1689107062 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 6901171131 |
|---|---|
| Medicare Enrollment ID | O20171013001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689107062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1603-636AT (Louisiana) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Amanda Neil Hickman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811201635 PECOS PAC ID: 6204025828 Enrollment ID: I20110113000581 |
| Provider Name | Anna Lorino Olivier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467137489 PECOS PAC ID: 6103272448 Enrollment ID: I20231024000451 |
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