Organization
NORTHSHORE EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D GRIENER M.D. (OWNER)
(985) 375-1111
Entity
Organization
Contact information
Practice address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 375-1111
(985) 542-0733
Mailing address
2831 MONROE ST, MANDEVILLE, LA 70448-4936
(985) 375-1111
(985) 542-0733
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1944297
—
LA
Enumeration date
11/16/2006
Last updated
04/27/2020
Update your record
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