Organization
EYECARE AND SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHERYL A GREENHOUSE (RECEPTIONIST)
(318) 253-9766
Entity
Organization
Contact information
Practice address
108 MEDIC AVE, MARKSVILLE, LA 71351-3099
(318) 253-9766
(318) 253-8094
Mailing address
108 MEDIC AVE, MARKSVILLE, LA 71351-3099
(318) 253-9766
(318) 253-8094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180034882
RAILROAD MEDICARE
LA
01
—
185374602
UNITED HEALTH
LA
05
—
1948691
—
LA
Enumeration date
12/06/2006
Last updated
04/20/2008
Update your record
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