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Individual

DR. EUGENE GARY OPPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
312 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA 70443-2387
(985) 878-1066
(504) 617-6303
Mailing address
PO BOX 10190, NEW ORLEANS, LA 70181-0190
(985) 878-1066
(504) 617-6303

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1033-109T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1370771
LA
01
1588832919
GROUP NPI
LA
01
410011344
RAILROAD MEDICARE PIN
LA
01
57878
MEDICARE GROUP
LA
01
DE5503
RAILROAD MEDICARE GROUP
LA
01
F2422
BLUE CROSS
LA
Enumeration date
01/14/2006
Last updated
09/28/2023
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