Individual
DR. ERIC DAMIAN GRIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 375-1111
(985) 542-0733
Mailing address
2831 MONROE ST, MANDEVILLE, LA 70448-4936
(985) 375-1111
(985) 542-0733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019548
LA
207W00000X
Ophthalmology Physician
Primary
MD.019548
LA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
019548
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900745
—
LA
05
—
1944297
—
LA
Enumeration date
05/05/2006
Last updated
04/27/2020
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