# RANDY P BOULIGNY MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063768216
- **Authorized official:** DR. RANDY BOULIGNY M.D. (OWNER)
- **Authorized official phone:** (504) 210-9826

## Contact information

- **Practice address:** 1100 POYDRAS ST, SUITE 2900, NEW ORLEANS, LA 70163-1101
- **Practice address phone:** (504) 799-2219
- **Mailing address:** PO BOX 791547, NEW ORLEANS, LA 70179-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 021802 | LA | Yes |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 07/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1627593 | — | LA |