1487826996 NPI number — EYES & EYEWEAR INC.

Table of content: (NPI 1487826996)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487826996 NPI number — EYES & EYEWEAR INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EYES & EYEWEAR INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487826996
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6823 PINES RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
SHREVEPORT
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71129-5205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-688-3050
Provider Business Mailing Address Fax Number:
318-688-3233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6823 PINES RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71129-5205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-688-3050
Provider Business Practice Location Address Fax Number:
318-688-3233
Provider Enumeration Date:
03/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WALKER
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
318-688-3050

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  809097T , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1342696 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 439724581C . This is a "BLUE CROSS OF LOUISIANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 4358428080 . This is a "BLUE CROSS OF LOUISIANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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