Organization
ACCURATE EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH E KELLUM M.D. (SOLE OWNER)
(985) 448-3353
Entity
Organization
Contact information
Practice address
900 CANAL BLVD, SUITE 3, THIBODAUX, LA 70301-4506
(985) 448-3353
(985) 448-1276
Mailing address
900 CANAL BLVD, SUITE 3, THIBODAUX, LA 70301-4506
(985) 448-3353
(985) 448-1276
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12816R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007025369
AETNA INS
LA
05
—
1574155
—
LA
01
—
4373997980
BLUECROSS BLUE SHIELD
LA
01
—
P00155035
RAILROAD MEDICARE
LA
Enumeration date
10/11/2007
Last updated
05/15/2024
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