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Organization
SLIDELL EYE SPECIALISTS, APMC
Active
Organization
SLIDELL EYE SPECIALISTS, APMC
Active
Other names
The Medical & Surgical Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRENNER (MANAGER)
(985) 249-0206
Entity
Organization
Contact information
Practice address
2053 GAUSE BLVD E STE 100, SLIDELL, LA 70461-5452
(985) 649-0206
(985) 649-4060
Mailing address
2050 GAUSE BLVD E STE 150, SLIDELL, LA 70461-5414
(985) 649-0206
(985) 649-4060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940682
—
LA
05
—
9013659
—
MS
01
—
CC9303
RAILROAD MEDICARE
—
Enumeration date
03/20/2007
Last updated
02/03/2026
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