Organization
ABDAS ARTIFICIAL EYE AND FACIAL CENTER INC
Active
Parent organization
ABDAS ARTIFICIAL EYE AND FACIAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABDAS ARTIFICIAL EYE AND FACIAL CENTER INC
Authorized official
MR. RICHARD CHARLES ABDA OCULARIST (PRESIDENT)
(504) 469-3937
Entity
Organization
Contact information
Practice address
3715 WILLIAMS BLVD STE 207, KENNER, LA 70065-3075
(504) 469-3937
(504) 469-3377
Mailing address
PO BOX 415, KENNER, LA 70063-0415
(504) 469-3937
(504) 469-3377
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1508
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1324191
—
LA
01
—
B2973
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
11/02/2006
Last updated
07/27/2023
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