Organization
EYE MEDICAL CENTER, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST J LANDRY (ADMINISTRATOR)
(225) 766-7441
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 4000, BATON ROUGE, LA 70808-0306
(225) 766-7441
(225) 766-7597
Mailing address
7777 HENNESSY BLVD, SUITE 4000, BATON ROUGE, LA 70808-0306
(225) 766-7441
(225) 766-7597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
979137T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1791849
—
LA
01
—
CS3812
RR MEDICARE
LA
Enumeration date
08/31/2006
Last updated
11/28/2011
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