# JOE M. GANNON, M.D. A PROFESSIONAL MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gannon Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124001755
- **Authorized official:** DR. JOE MCALAN GANNON M.D. (PRESIDENT)
- **Authorized official phone:** (225) 718-3764

## Contact information

- **Practice address:** 230 ROBERTS DR, SUITE J, NEW ROADS, LA 70760-2661
- **Practice address phone:** (225) 718-3764
- **Mailing address:** PO BOX 20, NEW ROADS, LA 70760-0020
- **Mailing address phone:** (225) 618-0088
- **Mailing address fax:** (225) 618-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 10553R | LA | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 05/12/2021