# EYECARE SPECIALISTS OF LOUISIANA

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

## Provider details

- **NPI number:** 1407189772
- **Authorized official:** JOHN BARRY CARMODY MD (OWNER)
- **Authorized official phone:** (318) 841-3937

## Contact information

- **Practice address:** 1801 FAIRFIELD AVE, SUITE 103, SHREVEPORT, LA 71101-4457
- **Practice address phone:** (318) 841-3937
- **Practice address fax:** (318) 841-2505
- **Mailing address:** PO BOX 1062, SHREVEPORT, LA 71163-1062
- **Mailing address phone:** (318) 841-3937
- **Mailing address fax:** (318) 841-2505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 201034 | LA | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 03/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1071781 | — | LA |