Organization
EYECARE SPECIALISTS OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BARRY CARMODY MD (OWNER)
(318) 841-3937
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 103, SHREVEPORT, LA 71101-4457
(318) 841-3937
(318) 841-2505
Mailing address
PO BOX 1062, SHREVEPORT, LA 71163-1062
(318) 841-3937
(318) 841-2505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
201034
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071781
—
LA
Enumeration date
09/17/2009
Last updated
03/13/2012
Update your record
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