# SLIDELL EYE SPECIALISTS, APMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medical & Surgical Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861517054
- **Authorized official:** MICHAEL BRENNER (MANAGER)
- **Authorized official phone:** (985) 249-0206

## Contact information

- **Practice address:** 2053 GAUSE BLVD E STE 100, SLIDELL, LA 70461-5452
- **Practice address phone:** (985) 649-0206
- **Practice address fax:** (985) 649-4060
- **Mailing address:** 2050 GAUSE BLVD E STE 150, SLIDELL, LA 70461-5414
- **Mailing address phone:** (985) 649-0206
- **Mailing address fax:** (985) 649-4060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 02/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1940682 | — | LA |
| 05 | — | 9013659 | — | MS |
| 01 | — | CC9303 | RAILROAD MEDICARE | — |