Organization
BATON ROUGE EYE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILA L CROW (ACCOUNTING)
(225) 927-0180
Entity
Organization
Contact information
Practice address
4848 NORTH BLVD, BATON ROUGE, LA 70806-4019
(225) 927-0180
(225) 926-3803
Mailing address
PO BOX 66455, BATON ROUGE, LA 70896
(225) 927-0180
(225) 926-3803
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133485
—
LA
Enumeration date
02/07/2007
Last updated
08/22/2020
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