Organization
LOUISIANA CENTER FOR EYES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLA B. OKOGBAA M.D. (OPHTHALMOLOGIST)
(504) 232-0138
Entity
Organization
Contact information
Practice address
7855 HOWELL PLACE BLVD, SUITE 130A, BATON ROUGE, LA 70807-5256
(225) 356-2655
(225) 356-2358
Mailing address
7855 HOWELL PLACE BLVD, SUITE 130A, BATON ROUGE, LA 70807-5256
(225) 356-2655
(225) 356-2358
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
201426
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500135
—
LA
01
—
4P629DP77
MEDICARE PROVIDER NUMBER
LA
Enumeration date
08/24/2013
Last updated
08/24/2013
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