Organization
PEDIATRIC EYE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY C BLACK MD (PARTNER)
(225) 766-3437
Entity
Organization
Contact information
Practice address
5220 FLANDERS DR, BATON ROUGE, LA 70808-9157
(225) 766-3437
(225) 766-3443
Mailing address
5220 FLANDERS DR, BATON ROUGE, LA 70808-9157
(225) 766-3437
(225) 766-3443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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